Fidler M W
J Bone Joint Surg Br. 1986 Jan;68(1):83-90. doi: 10.1302/0301-620X.68B1.3941146.
Seventeen patients with pathological fractures of the thoracolumbar spine which had not responded to conservative treatment are reported. All had compression of the spinal cord and/or severe pain. All (except one treated by lateral rhachotomy) were treated by anterior decompression followed by stabilisation; when the lesion was below T2 the spine was stabilised anteriorly, and when it was higher posterior instrumentation was used. Sixteen of the 17 patients benefited from the procedure.
报告了17例胸腰椎病理性骨折患者,这些患者对保守治疗无效。所有患者均有脊髓受压和/或严重疼痛。所有患者(除1例接受侧方脊髓切断术治疗外)均先行前路减压,然后进行固定;当病变位于T2以下时,脊柱前路固定,病变较高时则采用后路器械固定。17例患者中有16例从该手术中获益。