欢迎来到天天文库
浏览记录
ID:33537515
大小:137.51 KB
页数:3页
时间:2019-02-26
《胸腰椎骨折伴脊髓损伤手术方式选择》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、维普资讯http://www.cqvip.com中国矫形外科杂志2001年2月第8卷第2期OrthopJChin。Vol8.No2February2001137辫翁靛t÷凛墨鼋盎瓣:妻薯量:
2、芸也胸腰椎骨折伴脊髓损伤手术方式选择林本丹钟志刚邱雪立胡娈山周来喜摘要目的:探讨胸腰椎骨折伴脊髓损伤前后路手术各自的优缺点、适应证雌及内固定物的选择。方法:回顾1992年1月~2000年4月手术治疗胸腰椎骨折伴脊髓损伤53例,其中后路手术43倒,前路手术1O例;总结手术方法及手术疗效。结果:获6个月以上随访41倒,脊
3、髓神经功能术前为A级3倒。术后均无恢复;其他在术后均有1—3级恢复;前后路手术对神经功能恢复无法做比较:椎体复位后路手术43倒有11倒灾佳,前路手术10倒均达解剖复位。结论:前后路手术各有其较明确的适应证,应按照受伤节段、CT显示椎骨受压情况及神经损伤程度进行选择;后路手术存在远期或取钉之后椎体高度再丢失问题,前路因其能达到生物学固定而远期稳定效果良好。关键词脊柱骨折:胸椎;腰椎;内固定中圈分类号R6831文献标识码A文章编号1005—8478(2001)02—0137—03TheSelection0fo
4、perativePr0ced醐forThoraeo—luml~-Fractm'eCornplleafedwltbsplnCordInjury//LN且一dan.ZHONGZhi-gang。uXue-li,etat.DepartmentofOrth)pedwsC~angdongShantou51503IAbstractObjective:Toexploretheefectsandindicationso1anteriororposteriorapproachoperationtotreatth.~aco一1
5、umhaxfracture∞mplicatedwithspinalcordinjuryitodiscdsstheselecfionofthematerialofinternalfixationMethods:53ca5-髂ofthoraco一1umbarfractu/~accompaniedwithspinalcordinjurywereoperatedfromJan1992tOApt200043casesweretreatedbyposteriorapprtmchoperationand10cabyan
6、teriorapproachResults:41caseswerefollowed—up6mc~ths3casesthatASIA(AmericanspinalInja~yA~soeiadon)irnpairmentscaleofpreoperationshowedAhadnorecover),.Otherswererecoveredfrom1—3scaleafteroperation.Thelevelofrecoveryofspina1cordinjurycouldnothecomparedbetwee
7、nantehoraD—preachandix:~teriorapproach.In43casesofposteriorapproachoperation.1Lcasescouldnoti~ovoftheheightofvertebralbodyafteroperationInalll0ca5esofante~o~approachoperation,thefractureofvertebralbodyachievedanatomicalreductionCon—elusions:Theindications
8、anteriorapproachandposteriorapproachoperationcouLdbedefinedaccordingtothesegmentofinjuredvertebra.thecompressedIx~itlonofspinalcordthatshowedbyCTandtheimpairmentscaleofspinalcordThattheheightofvertebralbodylostagaincouldbefoundinlong—termfollow—upinthepos
9、teriorapproachoperationThelateresultoftheaatetqorapproachopeta6onwasgoodbecauseitcouLdachievethebiologicfus
10、onntheiniuredvertebralbodyKeywordsspinalfracture;Thoracicvertebrae;Lumbarvertebrae;Interlalfixation胸腰椎骨折是脊柱
此文档下载收益归作者所有