摘要
目的探讨采用前路椎管减压植骨内固定术治疗胸、腰椎爆裂型骨折并截瘫的疗效。方法开展前路椎管减压、带钛网植骨及钛合金钢板内固定术治疗胸、腰椎爆裂型骨折并截瘫12例。结果随访3～15个月,经MRI及X线摄片检查,脊柱曲度恢复正常,椎管前方压迫解除,植骨及内固定牢固,无塌陷及松脱。术后1～2个月内能自解大小便患者占83%,脊髓神经功能恢复情况按Frankel分级,恢复1级或1级以上者75%。结论对胸、腰椎爆裂型骨折并截瘫,应及早给予手术治疗,行前路椎管减压,恢复脊髓神经功能,采用带钛网植骨及前路钢板内固定,是重建脊柱稳定性的一种较佳的选择。
Objective To investigate the curative effect of anterior decompression and international fixation for treatment of thoracolumbar burst fractures combined with injured spinal cord.Methods Data of cases with thoracolumbar burst fractures complicated by paraplegia treated with anterior decompression,titanium mesh and bone graft,and titanum plate with internal fixation were retrospectively analyzed.Results In the follow up of 3～15 months,X-ray and MRI manifested that spinal distraction becomenormal;anterior decompression were released,internal fixation and bone graft were stabile without mobilizatin and collapse 83% of the cases could make micturition and /or defecation in 1～2 months;one grade or more was improved in 75% cases for frankel grade scores.Conclusion Early surgical treatment for the cases with thoracolumbar burst fractures is adaptible;Anterior decompression was helpful to recover spinal function, the method of anterior decompression and interal fixation is an effective approach with which the decompression,titanium mesh and bone graft,and titanum plate with internal fixation,abnormality correction and reconstruction of spinal stability can be formed.
出处
《中国实用医药》
2007年第32期6-8,共3页
China Practical Medicine
关键词
前路减压
钛网植骨
胸腰椎爆裂型骨折
截瘫
Anterior decompression
Titanium mesh and bone graft
Thoracolumbar burst fractures
Paraplegia
