Xu S T
Zhonghua Wai Ke Za Zhi. 1989 Feb;27(2):85-7, 125.
From April 1980 to August 1984, 11 cases of fracture--dislocation of spine at the level of T-11 to L-2 with obvious kyphosis at the site of displacement, with paraplegia, were treated by vertebrectomy through posterior median approach. The operations were performed 2 to 28 weeks, averaging 8 weeks, after injury. 5 of the 9 patients who had complete paraplegia suffered also causalgia in both legs. The other 2 had incomplete paraplegia only. Follow-up study, 4 years and 5 months post-operation on average, revealed complete reduction of the fracture-dislocation in 10 patients and incomplete in one, getting solid bony union in all. Concerning the neurological findings of the 9 complete paraplegic patients, 5, who had suffered from causalgia got varying degree of relief, 5 regained sensation of pain in region 2 segments lower, of the 2 incomplete paraplegic patients, 1 regained sensation of pain in both legs and muscular power of degree 4 in both thighs, so that walking became possible, while the another one fell into complete paraplegia, because of compression of the cord at T-10 happened during operation and showed no signs of recovery afterward.
1980年4月至1984年8月，采用后正中入路椎体切除术治疗11例胸11至腰2椎体骨折脱位，脱位部位有明显后凸畸形并伴有截瘫。手术在伤后2至28周进行，平均8周。9例完全性截瘫患者中有5例双下肢还伴有灼性神经痛。另外2例仅有不完全性截瘫。平均术后4年5个月的随访结果显示，10例患者骨折脱位完全复位，1例不完全复位，所有患者均获得牢固的骨性愈合。关于9例完全性截瘫患者的神经学检查结果，5例伴有灼性神经痛的患者疼痛有不同程度缓解，5例恢复了损伤平面以下2个节段区域的痛觉；2例不完全性截瘫患者中，1例双下肢恢复痛觉，双大腿肌力达4级，能够行走，而另1例因手术中胸10脊髓受压，术后无恢复迹象，最终陷入完全性截瘫。
