Zhao Liu-Jun, Chai Bo, Xu Rong-Ming, Ma Wei-Hu, Ruan Yong-Ping, Ying Qi-Er, Cao Jin
Department of Orthopaedics, 6th People's Hospital of Ningbo, Ningbo 315000, Zhejiang, China.
Zhongguo Gu Shang. 2008 Jan;21(1):10-2.
To explore the treatment of anterior decompression and reconstruction for burst thoracolumbar fractures with anterior and median column injury and to evaluate the therapeutic effect.
Thirty-four patients suffering from burst thoracolumbar fractures with anterior and median column injury (male 22 and female 12, aged from 20 to 63,with an average of 40.5 years) were treated by anterior decompression and reconstruction from May 2001 to October 2006. Operative duration, bleeding and the neurological function of patients were recorded.
All the patients were followed up from 3 to 60 months and the average time was 24.5 months. Operative duration was (178 +/- 65) min. The volume of bleeding was (1 750 +/- 950) ml and the volume of autotransfusion was (950 +/- 750) ml. Cobb angle were corrected from 27.0 degrees +/- 6.5 degrees to 3.0 degrees +/- 1.5 degrees. All fractures obtained fusion. No failure of internal fixation and formation of false joint happened.
The technique of anterior decompression and reconstruction for burst thoracolumbar fractures with anterior and median column injury is effective, with which the decompression and reconstruction of the spinal stability can be performed under direct vision at one stage, and the sagittal alignment can be corrected at the same time. The procedure will be more smoothly by the application of the intraoperative autotransfusion.
探讨胸腰段爆裂骨折合并前中柱损伤的前路减压与重建治疗方法并评估其疗效。
2001年5月至2006年10月，对34例胸腰段爆裂骨折合并前中柱损伤患者（男22例，女12例，年龄20～63岁，平均40.5岁）行前路减压与重建治疗。记录手术时间、出血量及患者神经功能情况。
所有患者随访3～60个月，平均24.5个月。手术时间为（178±65）分钟。出血量为（1750±950）毫升，自体回输血量为（950±750）毫升。Cobb角从27.0°±6.5°矫正至3.0°±1.5°。所有骨折均获融合。未发生内固定失败及假关节形成。
胸腰段爆裂骨折合并前中柱损伤的前路减压与重建技术疗效确切，可在直视下一期完成减压及脊柱稳定性重建，同时矫正矢状位对线。术中应用自体血回输可使手术更加顺利。
