Cui Hongxun, Guo Jiayi, Yang Lei, Guo Yanxing, Guo Malong
Hongxun Cui, Orthopedic Hospital of Henan Province, Luoyang 471002, Henan Province, PR China.
Jiayi Guo, Orthopedic Hospital of Henan Province, Luoyang 471002, Henan Province, PR China.
Pak J Med Sci. 2015 Mar-Apr;31(2):346-50. doi: 10.12669/pjms.312.6474.
To compare the clinical therapeutic effects of anterior decompression and posterior decompression on thoracolumbar spine fracture (TSF) complicated with spinal nerve injury (SNI).
A total of 120 patients with TSF and SNI were selected and divided into a treatment group and a control group that were then treated by anterior decompression and posterior decompression respectively. The preoperative and postoperative motor scores, tactile scores, heights of injured vertebral body and Cobb's angles, as well as surgical times and intraoperative blood losses were recorded and compared.
Before surgeries, the motor score, tactile score, height of injured vertebral body and Cobb's angle of the treatment group were similar to those of the control group (P>0.05). After surgeries, the values of the treatment group were significantly different from those of the control group (P<0.05). The two groups also had significantly different intraoperative blood losses and surgical times (P<0.05).
Compared with posterior decompression, anterior decompression improved spinal cord function better and relived spinal cord compression more effectively with a more reasonable mechanics of internal fixation. Although this protocol caused more blood loss, the overall therapeutic effects were more satisfactory.
比较前路减压与后路减压治疗胸腰椎骨折（TSF）合并脊髓神经损伤（SNI）的临床疗效。
选取120例TSF合并SNI患者，分为治疗组和对照组，分别行前路减压和后路减压治疗。记录并比较术前及术后的运动评分、触觉评分、伤椎高度和Cobb角，以及手术时间和术中出血量。
术前，治疗组的运动评分、触觉评分、伤椎高度和Cobb角与对照组相似（P>0.05）。术后，治疗组的值与对照组有显著差异（P<0.05）。两组的术中出血量和手术时间也有显著差异（P<0.05）。
与后路减压相比，前路减压能更好地改善脊髓功能，更有效地解除脊髓压迫，内固定力学更合理。虽然该术式导致更多的出血，但总体治疗效果更满意。
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