论文部分内容阅读
不稳定性脊柱骨折最常采用前侧入路手术,这种方法适用于颈、胸和腰椎骨折的病人,而胸腰段椎体正好位于胸腹腔的交界处,该区域的暴露相当困难。前外侧入路途径虽然能够很好地显露胸腰椎,但是操作复杂且对组织的损伤较大。该研究探讨后外侧入路手术(PLA)在治疗儿童胸腰段不稳定性椎体骨折中的价值、适应证和临床效果。自1990年至2000年采用PLA对14例儿童胸腰段不稳定性椎体骨折进行手术,术中采用单侧或双侧椎管减压和C-D器械内固定。将病人分为四组:第1组4例(Frankel E级),均无神经损害的表现,其中2例T_(12)骨折,1例L_1骨折,1例L_1和L_2骨
Unstable spinal fractures are most commonly treated with anterior approach. This method is suitable for patients with neck, thoracolumbar, and lumbar fractures, and thoracolumbar vertebrae are located just at the junction of the chest and abdomen, exposing the area to considerable difficulty. Although the anterolateral approach to the thoracolumbar spine is well disclosed, the operation is complicated and the tissue is more damaged. This study explored the value, indications and clinical outcomes of posterior lateral approach (PLA) in the treatment of unstable thoracolumbar fractures in children. From 1990 to 2000, 14 cases of thoracolumbar vertebral fractures were treated by PLA. One-sided or bilateral spinal decompression and C-D instrumentation were used. The patients were divided into four groups: Group 1 (4 cases) (Frankel E grade) showed no nerve damage, including 2 cases of T 12 fracture, 1 case of L 1 fracture and 1 case of L 1 and L 2 bone