中国实用神经疾病杂志2017，Vol.20Issue(8)：9-12,4.
胸腰段脊柱骨折合并脊髓神经损伤患者不同入路减压手术的疗效分析
Curative effects of different approaches of decompression on patients with thoracolumbar spine fracture and spinal cord injury
摘要
Abstract
Objective To investigate the curative effects of different approaches of decompression on patients with thoracolumbar spine fracture and spinal cord injury.Methods All 116 patients meeting the included criteria from January 2010 to June 2016 were divided into anterior-approach and posterior-approach groups.The former carried out subtotal vertebrectomy,subsequ-ent supplementation with titanium cage and internal fixation with Z plate,while the latter used traditional incisioin decompression and internal fixation via posterior screw-rod system.Evaluation indexes included operation duration,blood loss,incision length,Oswestry disability index,correction of kyphotic deformity,sagittal alignment,etc.Results Operation time and blood loss in the posterior-approach group were significantly lower than those in the anterior-approach group,but there were no significant differences as for nerve injury scores and postoperative incision length between the two groups(P>0.05).With the prolonged follow-up,the posterior-approach group presented the deterioration of corrective angle.Conclusion Although internal fixation via anterior approach can have a good effect on the treatment of thoracolumbar spine fracture and spinal cord injury,this approach is relatively bigger complex and invasive.We should seriously analyze and choose appropriate operation approach based on specific clinical manifestations and precise fracture types.关键词
胸腰段脊柱骨折/脊髓神经损伤/减压手术Key words
Thoracolumbar fracture/Spinal nerve injury/Decompression分类
医药卫生引用本文复制引用
汪文录,李丹,秦建英..胸腰段脊柱骨折合并脊髓神经损伤患者不同入路减压手术的疗效分析[J].中国实用神经疾病杂志,2017,20(8):9-12,4.基金项目
河南省科技发展计划,编号:142300410297 （）
