Yazici M, Atilla B, Tepe S, Calisir A
Department of Orthopaedics, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey.
J Spinal Disord. 1996 Oct;9(5):409-13.
Operative and nonoperative treatment methods of burst fractures were compared regarding canal remodeling. The entire series consisted of 18 patients, with seven in the operative treatment group and 11 in the nonoperative treatment group. All fractures were studied with computed tomography (CT) at the postoperative (operative treatment group) or postinjury (nonoperative treatment group) and the latest follow-up. All patients were followed up for > or = 18 months. There was no statistical difference between postoperative and postinjury canal areas (p = 0.0859). However, a significant difference was found between the rates of remodeling (p = 0.0059). Although spinal canal remodeling occurred in both groups, the resorption of retropulsed fragments was less favorable in nonoperative treatment group.
就椎管重塑而言，对爆裂骨折的手术和非手术治疗方法进行了比较。整个系列包括18例患者，手术治疗组7例，非手术治疗组11例。所有骨折均在术后（手术治疗组）或受伤后（非手术治疗组）以及最新随访时采用计算机断层扫描（CT）进行研究。所有患者均随访≥18个月。术后和受伤后椎管面积之间无统计学差异（p = 0.0859）。然而，在重塑率方面发现了显著差异（p = 0.0059）。尽管两组均发生了椎管重塑，但非手术治疗组中后凸碎片的吸收情况较差。
