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

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,

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