Herndon W A, Galloway D
Department of Orthopedic Surgery, College of Medicine, University of Oklahoma, Oklahoma City.
J Trauma. 1988 May;28(5):680-3. doi: 10.1097/00005373-198805000-00022.
Twenty-four patients with incomplete spinal cord injuries secondary to burst fractures of the thoracolumbar spine were reviewed an average of 26 months after their injury. No patient had had a specific attempt to decompress neural elements but the majority had posterior instrumentation and fusion for spine realignment and stabilization. The amount of neurologic recovery in each patient was compared to the final area of the spinal canal as determined by CT scan. It was concluded that there was no correlation between neurologic improvement and the amount of spinal canal encroachment. In addition, posterior instrumentation to realign the spine will usually restore canal patency to greater than 50% of normal.
对24例因胸腰椎爆裂性骨折继发不完全性脊髓损伤的患者进行了回顾性研究，平均随访时间为伤后26个月。没有患者进行过特定的神经减压尝试，但大多数患者接受了后路器械固定和融合术以实现脊柱的重新排列和稳定。将每位患者的神经功能恢复情况与CT扫描确定的椎管最终面积进行了比较。结果表明，神经功能改善与椎管侵占程度之间没有相关性。此外，用于脊柱重新排列的后路器械固定通常会使椎管通畅率恢复到正常的50%以上。
