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浅谈脊柱骨折脊髓损伤38例患者的临床治疗

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目的:探讨脊柱骨折伴脊髓损伤的临床治疗方法。方法回顾性分析我院38例脊柱骨折伴脊髓损伤患者的临床资料,采用后路减压适宜内固定术治疗。结果术后对38例患者进行随访,随访时间为6个月-2年。椎体形态的恢复Cobb's角由术前平均26.2°(11-47°)恢复到术后平均3.4°(0-9°);椎体前缘高度由术前平均52%(14-71%)恢复到术后89.1%(85-100%)。结论脊柱骨折伴脊髓损伤患者宜早期手术治疗,及早解除脊髓压迫,应该根据骨折类型和脊髓损伤程度选用恰当的椎体内固定和植骨以稳定脊椎柱,是脊髓损伤恢复的有效措施。
Objective To investigate the clinical treatment of spinal fracture with spinal cord injury .Methods Retrospective analysis of clinical data of patients with spinal cord injury in our hospital is 38 cases of spinal fractures,decompression through posterior approach for internal fixation.Results After operation,38 patients were followed up;the follow-up time was 6 months to 2 years.Vertebral morphology of recovery of Cobb's angle by preoperative average of 26.2 °(11-47 °)operation after an average of 3.4 °(0-9 °);Anterior height of vertebral body by an average of 52% preoperative(14-71%)compared with postoperative 89.1%(85-100%).Con-clusion Spinal fractures should be treated with early operation in patients with spinal cord injury ,early decompression of the spinal cord,should according to the type of fracture and spinal cord injury degree to choose the right vertebral internal fixation and bone grafting in order to stabilize the spinal column ,are the effective measures for recovery from spinal cord injury.

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辽宁省葫芦岛市建昌县人民医院骨科,辽宁 建昌 125300

脊柱骨折 脊髓损伤 外科治疗

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(4)
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