【摘要】目的 探讨前路减压Kaneda内固定治疗椎管明显占位胸腰椎爆裂性骨折的临床应用效果。方法 对17例椎管明显占位胸腰椎爆裂性骨折行前路减压、Kaneda内固定。结果 17例均获随访6个月～7年，平均2年6个月。手术后胸腰椎椎体高度及生理曲度恢复满意，平均Cobb's 角及平均椎管狭窄指数得到明显改善，神经功能恢复(Frankel分级) 提高2级以上。2 例术中损伤胸膜并给予修补，3例术后出现腹股沟区麻木，未发生其他并发症。结论 前入路Kaneda内固定治疗椎管明显占位胸腰椎爆裂性骨折可获得良好临床疗效。

    【关键词】胸腰椎 爆裂性椎骨折 前路减压 内固定

    中图分类号：R683 文献标识码：A 文章编号：1005-0515(2012)3-011-03

    Anterior Decompression and Kaneda Internal Fixation of Thoracolumbar Vertebral Burst Fracture

    LIANG Qing-huai HU Tao RONG Jianxin XU Zhong-he

    【Abstract】Objective To explore the clinical outcome of the treatment for Thoracolumbar Vertebral Burst Fracture with spinal canal occupying lesion by anterior decompression and Kaneda internal fixation.Methods We treat 17 patien of thoracolumbar Vertebral Burst Fracture with spinal canal occupying lesion by anterior decompression and Kaneda internal fixation.Result All of the 17 cases were effective followed up and evaluated from 6 months to 7 years. The height of injured thoracolumbar vertebral and the curvature of thoracolumbar vertebrae, is recoveryed well .The average Cobb’s angle and spinal canal index is improved evidently .Frankle class improved remarkably. None of the patients developed severe complications. Conclusions Anteriorl decompression and fixation with and Kaneda internal fixation is an effective method for treating thoracolumbar burst fractures with spinal canal occupying lesion.. ......