《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 762-763.

• 临床观察 • 上一篇    下一篇

胸腰椎Chance骨折的手术治疗

唐和虎; 洪毅; 王方永   

  1. 北京博爱医院脊柱脊髓外科 北京市 100068
  • 收稿日期:2005-06-13 出版日期:2005-09-25 发布日期:2005-09-25

Surgical management for thoracolumbar Chance fracture

TANG He-hu, HONG Yi,WANG Fang-yong   

  1. Departiment of Spine and Spinal Cord Surgery, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-06-13 Published:2005-09-25 Online:2005-09-25

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摘要： 目的观察胸腰段Chance骨折的手术疗效。方法对12例胸腰椎Chance骨折患者进行手术治疗,内固定使用Har-ritong加压装置、Dick钉、C-D和钛缆内固定系统。随访时间12～42个月,平均21个月。结果全部病例脊柱后柱分离得到了明显恢复,脊柱前柱也得到改善。除2例ASIA分级为A级的患者神经功能无变化外,其他4例伴有不完全性脊髓损伤的患者ASIA神经功能均有1级改善。结论手术治疗可即刻恢复胸腰椎Chance骨折脊柱稳定性,利于早期康复,促进神经功能恢复。

关键词: 脊柱, Chance骨折, 手术, 内固定, 康复

Abstract: ObjectiveTo observe the effect of surgical management on the thoracolumbar Chance fracture.Methods12 cases with thoracolumbar Chance fracture who accepted surgical management were followed-up 12 to 42 months(the mean was 21 months). ResultsDistraction deformity of posterior element were reduced significant in all patients, meanwhile, compression of anterior column was restored. Neurological function of all incomplete paraplegia patients improved their ASIA classification at least one grade. ConclusionSurgical treatment and internal fixation were suitable for stabilization of Chance fracture, neurological recovery and early rehabilitation.

Key words: thoracolumbar spine, Chance fracture, surgery, internal fixation, rehabilitation