陈旧_____陈旧性骨折；_胸椎；_腰椎；

陈旧性胸腰椎骨折后凸畸形伴脊髓损伤的手术治疗

http://www.100md.com 《中国矫形外科杂志》 2006年第2期

陈旧,,陈旧性骨折；,胸椎；,腰椎；,手术治疗；,脊髓损伤,1临床资料,2结果,3讨论,参考文献：

     摘要：[目的]探讨陈旧性胸腰椎骨折后凸畸形伴脊髓损伤的手术治疗方法及疗效。[方法]回顾1998～2003年收治的陈旧性胸腰椎骨折伴有脊髓损伤病人36例，均采用经后路椎管前方减压。[结果]所有病人均得到随访，后凸畸形矫正满意，除3例完全性截瘫病人以外，其他病人均有Frankle分级Ⅰ级以上恢复。[结论]经后正中入路可以有效地实现椎管前方减压。

    关键词：陈旧性骨折；胸椎；腰椎；手术治疗；脊髓损伤

    Surgical treatment of old thoracolumbar vertebral fracture with kyphosis and spinal cord injury

    LIU Hongzhi,LI Ming,SUN Shuhai,et al.

    Department of Orthopedics,Yuhuangding Hospital,Yantai 264000

    Abstract：[Objective]To explore the surgical method and clinical effects for the treatment of old thoracolumbar vertebrral fracture with kyphosis and spinal cord injury[Method]Thirtysix patients with old thoracolumbar vertebral fracture with kyphosis and spinal cord injury from 1998 to 2003,all had undergone anterior decompression through posterior median approach.[Result]All patients were followedup.Kyphosis was rectified well. The Frankle classification of all but 3 patients with complete paraplagia increased one or more degrees after operation.[Conclusion]Operation through posterior median approach can achieve anterior decompression effectively. ......

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