后路内固定侧前方减压治疗胸腰椎骨折并脊髓损伤

Posterior fixation and posterolateral decompression for new thoracolumbar fractures in fifty cases

中文关键词:  胸腰椎，骨折，内固定，后入路，减压

英文关键词:Thoracolumbar Fracture,Posterior fixation,Posterolateral decompression,

中文摘要:

  报告５０例胸腰椎骨折后路Ⅰ期内固定及侧前方减压。４２例平均随访２年８个月。伤椎椎体前缘高度由４８％恢复到９２．４％，Ｃｏｂｂ角由平均１７．４°恢复到２°。椎弓根距由增宽１１．５％下降到增宽１．２％。ＣＴ示椎管矢状径明显扩大。结果显示：采用棒套筒器械复位满意，经后路行侧前方减压彻底。其优点是创伤小，手术操作简便，复位好。

英文摘要:

  cases were treated with rod-sleeve reduction technique for posterior fixation and posterolateral decompression of fresh thoracolumbar fractures. The average follow-up period was 2 years and 8months. The fractured vertebral height along the anterior part r