Denis F, Armstrong G W, Searls K, Matta L
Clin Orthop Relat Res. 1984 Oct(189):142-9.
The treatment of thoracolumbar burst fractures in the absence of neurologic deficit remains controversial. The present study is a retrospective analysis of 52 of these acute burst fractures among 104 cases of thoracolumbar burst fractures treated either operatively or nonoperatively. Results are expressed in terms of neurologic function, pain, work status, and complications. All patients who had surgical treatment and no unrelated disability returned to full-time work. Twenty-five percent of the patients treated nonoperatively were unable to return to work full time. Of the patients in the nonoperative group, 17% developed neurologic problems. Prophylactic stabilization and fusion of acute burst fractures without neurologic deficit have significant advantages over conservative management.
对于无神经功能缺损的胸腰椎爆裂骨折的治疗仍存在争议。本研究对104例接受手术或非手术治疗的胸腰椎爆裂骨折病例中的52例这类急性爆裂骨折进行了回顾性分析。结果通过神经功能、疼痛、工作状态以及并发症方面来呈现。所有接受手术治疗且无其他相关残疾的患者都恢复了全职工作。接受非手术治疗的患者中有25%无法恢复全职工作。在非手术组患者中，17%出现了神经问题。对无神经功能缺损的急性爆裂骨折进行预防性固定和融合相较于保守治疗具有显著优势。
