胥少汀.胸腰椎脊髓损伤侧前方减压的适应证与术式选择[J].中国脊柱脊髓杂志,1993,(5):.
胸腰椎脊髓损伤侧前方减压的适应证与术式选择
Indications and operative choices of anterior-lateral decompression in thoracolumbar spinal cord injury
  
DOI:
中文关键词:  胸椎 腰椎 脊髓损伤 侧前方减压
英文关键词:Thoracolumbar vertebrae,Spinal cord injury,Anterior-lateral decompression,
基金项目:
胥少汀
北京军区总医院骨科 100700北京市东四南门仓5号
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中文摘要:
  胸腰椎骨折脱位并截瘫主要系椎管前方的椎体骨拆块、椎体后上角与椎间盘突出及大于20°的脊柱后弓成角所致,是侧前方减压的适应证。经后正中入路椎弓根侧前方减压的优点是手术创伤较小,可同时探查脊髓与安置后方内固定;缺点是不能直视脊髓前方,对侧减压可能不彻底或需对侧辅助减压。适于T10以上的胸椎与L2以下腰椎,亦适于胸腰段,特别是已行椎板切除者。
英文摘要:
  Thoracic and lumbar spinal injury comlicated the spinal cord compression was mainly caused by displaced vertebral body fragment, posterior--upper corner of the vertebral body and protrused disc. Over 20 degree of posterior bending angle in dorsal and lumb
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