Romero J, Vilar G, Bravo P
Hospital Nacional de Parapléjicos, Toledo, Spain.
Int Orthop. 1994 Jun;18(3):157-63. doi: 10.1007/BF00192472.
Seventy-nine fractures of the dorsolumbar junction with neurological lesions have been studied retrospectively at an average follow up of 29 months. Sixteen patients were treated conservatively and 63 were operated on using the techniques of laminectomy. Harrington rods, supplemented Harrington fixation and the Malaga transpedicular fixator. Both the angle of kyphosis and the percentage of vertebral wedging were comparatively lower when the Malaga fixator was used. Pain and the angle of kyphosis were related statistically, the Cobb angle being greater for those with pain. Surgical treatment allowed patients to sit up earlier, and those with a Malaga fixator spent a shorter time in hospital. No differences were found in neurological improvement.
对79例伴有神经损伤的胸腰段交界处骨折进行了回顾性研究，平均随访29个月。16例患者接受保守治疗，63例采用椎板切除术技术进行手术，使用了哈灵顿棒、补充哈灵顿固定和马拉加椎弓根固定器。使用马拉加固定器时，后凸角和椎体楔形变百分比相对较低。疼痛与后凸角在统计学上相关，有疼痛者的 Cobb 角更大。手术治疗使患者能更早坐起，使用马拉加固定器的患者住院时间更短。在神经功能改善方面未发现差异。
