【摘要】目的 探讨前后路手术在陈旧性胸腰椎骨折治疗中的应用价值。方法 对56例陈旧性胸腰椎骨折经前路或后路行椎管扩大减压植骨、内固定术。结果 所有患者随访6个月~5年，平均19个月。56例术后症状明显缓解，受压脊髓得到有效减压，植骨融合率高，前路手术脊髓神经功能改善优于后路后术，并发症少，结论 椎管侧前路减压对陈旧性胸腰椎骨折的治疗有效，后路后术适用于单纯脊柱失稳者。

    【关键词】胸腰椎骨折 前后路 手术

    中图分类号：R687 文献标识码：B 文章编号：1005-0515(2012)3-042-02

    Surgical treatment of obsolete thoracolumbar vertebral fractures by anterior or posterior approach

    GAO Zhenbin CHANG Yuwen AI Zezi·Maitiniyazi HU Jinan

    (Department of Orthopaedics, Hetian territory Hospital, Hetian 848000, China)

    【Abstract】Objective To investigate the clinical values of anterior and posterior surgical treatments of obsolete thoracolumbar vertebral fractures. Methods 56 cases of obsolete thoracolumbar vertebral fracture were treated with canal amplification, decompression, internal fixation and bone grafting by anterior or posterior approach. Results They were followed up from 6 months to 5 years (averaging 19 months) postoperatively. The symptoms of the 56 cases were relieved obviously. The compressed spine cords were decompressed effectively. The rate of fusion of the implanted bone was high. The anterior approach resulted in better functional recovery and fewer complications than the posterior approach. Conclusion The anterior decompression of the vertebral canal is effective for the obsolete thoracolumbar vertebral fractures, while the posterior approach for the patients simply with unstable spine. ......