| 手术治疗严重胸腰椎爆裂骨折 |
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Received:April 05, 1996
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| 期刊信息：《中国骨伤》1996年9卷，第5期，第3-4页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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| 本文报告手术治疗41例严重胸腰椎爆裂骨折,其中侧前方减压11例,全椎板减压30例;不全截瘫好转率为73%,完全截瘫好转率15.4%.作者认为：1.爆裂骨折主要是脊柱中柱损伤,对于椎体骨碎块压迫椎管占1/3以上,椎管矢径小于10mm应行椎管减压内固定。2.内固定方式应根据椎体损伤情况及范围,尽量选择损伤节段少,复住固定好的固定物。3.不全截瘫组手术治疗好转率明显高于完全截瘫组。 |
| [关键词]:胸腰椎 爆裂性骨折 手术治疗 |
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| Surgical treatment of the severe thoraco-lumbar burst fracture |
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| Abstract:The authors reported 51 cases of severe thoracolumbar burst fracure treated with surgery.According to Frankel grades, there were 13 cases of grade A, 7 Cases of grade B, 14 cases of grade C, 5 cases of grade D and 2 cases of grade 3 in 11 cases,and total laminectomy decompression was done in 30 cases. The recovery rate was 73% in the incomplete paraplegia and 15.4% in complete paraplegia. It was concluded 1. Burst fractures mainly injure the middle column of the spinal cord, and spinal canal de compression as well as internal fixation should be done, if the fragments of vetebra had compressed about 1/3 of the spinal canal and the sagital diameter of the later was less than 10 mm; 2. In ternal fixation should be selectedaccording to the condition and range of the injured vertebra, It is reasonable to choose the internal fixation procedure which can cause less injury of the spinal segment and get good results in reduction and fixxation;3. The recovery rate of the incomplete paraplegia group was significantly higher than that of the complete paraplegia group when surgical treatment was applied. |
| KEYWORDS:Thoracolumbar vertebrae Burst fracture Surgical treatment |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈奋勇,宋建榕,林佳俊,李建东,李卫锋.手术治疗严重胸腰椎爆裂骨折[J].中国骨伤,1996,9(5):3~4 |
| 英文格式: | Chen Fen-youg,Song Jian-rong,Lin Jia-jun.Surgical treatment of the severe thoraco-lumbar burst fracture[J].zhongguo gu shang / China J Orthop Trauma ,1996,9(5):3~4 |
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