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前路减压内固定术治疗胸腰椎骨折合并截瘫

Hits: 1845 Download times: 979 Received:January 23, 1997

作者	Author	单位	Unit	E-Mail
鄢宏	Yan Hong	深圳市红十字会医院,518029	Shenzhen Ciry Red CrDs Society HOSphal 5l8029
农绍友	Nong Shaomp	深圳市红十字会医院,518029	Shenzhen Ciry Red CrDs Society HOSphal 5l8029
向香成	X1hng Xiangheng	深圳市红十字会医院,518029	Shenzhen Ciry Red CrDs Society HOSphal 5l8029
余铮		深圳市红十字会医院,518029	Shenzhen Ciry Red CrDs Society HOSphal 5l8029

期刊信息：《中国骨伤》1997年10卷，第6期，第20-21页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

本文报告了1993年9月～1996年1月间采用侧前方减压,Kaneda内固定本治疗胸腰椎骨折合并脊髓或马尾神经损伤21例,除2例A级无变化外,余病例均有1～3级的改善。认为前路手术在直视下清除致压物,减压彻底,不破坏后柱的完整性。对于双椎体爆裂性骨折合并不全截瘫,采用前路减压,Kaneda内固定术亦可获得良好的治疗效果。

[关键词]:前路减压骨折截瘫内固定术

The Treatment of Fracture of Thoracolumbar Spine With Paraplegia by Anterior Decompression and Internal Fixation

Abstract:21 cases of fracture of thoracolumbar spine with injury of spinal cord or cauda equina had been treated by anterolateral decompression and Kaneda's interanl fixation from 1993 to 1996.The results showed that, in addition to 2 cases without change at injury grade A, 19 cases had been improved in the range of 1-3 grades. It is considered that the operation in anterior route can clear away the compressive material under direct vision, and thus the sufficient decompression can be obtained and the integrity of posterior column can not be destroyed. As to the bursting fracture of double vertebral body, the administration of anterior decompression and Kaneda's internal fixation can also obtain a good therapeutic effect.

KEYWORDS:Anterior decompression Internal fixation Fracture Paraplegia

引用本文，请按以下格式著录参考文献：

中文格式:	鄢宏,农绍友,向香成,余铮.前路减压内固定术治疗胸腰椎骨折合并截瘫[J].中国骨伤,1997,10(6):20~21
英文格式:	Yan Hong,Nong Shaomp,X1hng Xiangheng.The Treatment of Fracture of Thoracolumbar Spine With Paraplegia by Anterior Decompression and Internal Fixation[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(6):20~21

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