【摘要】 目的探讨椎管占位无神经症状的胸腰段爆裂性骨折手术治疗效果。方法对28例确诊为椎管占位无神经症状的胸腰椎爆裂性骨折患者采用后路内固定植骨技术治疗。结果本组28例平均随访12个月,术后X线片、CT显示复位、固定良好,椎体内、外植骨均获得骨性融合,Cobb’s角由术前10°～25°恢复到术后7°～15°,椎体前缘高度由术前50%恢复到术后的90%。术后均未出现神经功能障碍。结论于无神经损伤的胸腰椎爆裂性骨折,不管椎体压缩严重程度均应早期手术。因为通过手术可以维持脊柱三维空间结构,通过对伤椎植骨减轻椎管占位现象,后路手术近路,保留了脊柱后路结构,手术操作简单、创伤小、恢复快,适合推广使用。更多还原

【Abstract】 Objective To investigate the treatment effect of spinal canal without neurological symptoms placeholder thoracolumbar burst fracture.Methods Totally 28 patients diagnosed as spinal canal without neurological symptoms placeholder thoracolumbar burst fractures were treated with posterior fixation for treatment of bone grafting.Results 28 cases were followed up for 12 months,after X-ray,CT showed reduction in fixed good,vertebral body,were obtained outside the bone graft fusion,Cobb’s angle was corrected from 10 ° ~ 25 ° to the postoperative recovery 7 ° ~ 15 °,anterior vertebral height of 50% from the preoperative to the postoperative recovery of 90%.No postoperative neurological dysfunction.Conclusions No nerve injury in thoracolumbar burst fractures,vertebral compression regardless of the severity early surgery should be done.Because surgery can maintained through the three-dimensional structure of the spine,vertebral bone by occupying the spinal canal to reduce the phenomenon of shortcut posterior surgery,posterior spinal structures preserved,the operation is simple,minimally invasive,quick recovery.更多还原