摘要
Abstract
Objective:To investigate the effect of spinal cord injury repair by early posterior indirect de-compression and pedicle screw fixation on patients with thoracolumbar fracture .Method:From June 2007 to June 2012 , 80 patients with thoracolumbar fractures were divided into groups of early and delayed groups based on the timing of surgery .The early group accepted early posterior indirect decompression and pedicle screw fixation at the first time ( within 5 hours after injury ) ,after other more urgent injury were cured ,the de-layed group accepted early posterior indirect decompression and pedicle screw fixation ( within 3 days after injury).Result: After treatment,the number of urination and defecation disorder of patients in the early group were significantly less than the delayed group (P <0.05).The ASIA scale, simplified Fugl-Meyer low-er extremity motor function score , Fugl-Meyer balance function score and the types of labor after one year were all better than the delayed group ( P <0.05) .Vertebral height ratio , kyphosis cobb's corner were all bet-ter than before ( P <0.05) ,but there was no significant difference between the two groups after treatment ( P>0.05) .Conclusion: The early posterior indirect decompression and pedicle screw fixation can effectively improve the recovery of spinal cord compression on the patients with thoracolumbar fracture , but no obvious advantage to restore vertebral body .关键词
胸腰椎骨折/后路间接减压/椎弓根钉内固定/脊椎修复Key words
Thoracolumbar fractures/Posterior indirect decompression/Pedicle screw fixation/Spine repair
