Ozdemir Mustafa, Oğün Tunç, Kapicioğlu Safa M I
Selçuk Universitesi, Meram Tip Fakültesi, Ortopedi ve Travmatoloji ABD, Konya, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Jan;9(1):57-61.
This study investigated the incidence, prediction, and treatment principles of anterior dural laseration due to thoracolumbar burst fracture.
Three anterior dural tears were found during anterior decompressive spine surgery. The average age was 42. Preoperative neurologic status and radiologic data of the patients were analyzed retrospectively. The average follow-up was 20 months.
Anterior dural tears detected in 3 (8.2%) of 35 burst fractures. Primary repair were performed in two patients. There were no cerebro-spinal fluid leakage perioperatively and all patients were neurologically intact at the final follow-up.
It is too difficult to detect anterior dural tear before surgery. Anterior dural tear should be suspected in patient with neurologic deficit and asimetric bony retropulsion into the spinal canal.
本研究调查了胸腰椎爆裂骨折所致前侧硬脊膜损伤的发生率、预测因素及治疗原则。
在脊柱前路减压手术中发现3例前侧硬脊膜撕裂。平均年龄为42岁。对患者的术前神经功能状态和影像学数据进行回顾性分析。平均随访时间为20个月。
在35例爆裂骨折中有3例（8.2%）发现前侧硬脊膜撕裂。2例患者进行了一期修复。围手术期无脑脊液漏，所有患者在末次随访时神经功能均完好。
术前很难检测到前侧硬脊膜撕裂。对于有神经功能缺损和不对称性骨块向椎管内后凸的患者，应怀疑存在前侧硬脊膜撕裂。
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