经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位

摘要

目的：探讨经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位的近期临床疗效。方法回顾性分析我院2010年4月至2012年10月4例接受经伤椎水平截骨、植骨内固定术的患者资料，其中 T8～T9骨折脱位1例、T10～T11骨折脱位2例、T11～T12骨折脱位1例，术前脊髓损伤 Franke1分级均为 A 级。结果4例病例术中均完全复位、术后1周佩戴支具坐起，4例病例均获得随访，随访时间2～14个月（平均7．4个月），4例病例均获骨性融合，但术后 Franke1分级无改善。结论经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位近期临床疗效好，具有手术时间短、出血少、复位效果良好等优点。%Objective To discuss the short-term currative effect of horizontal osteotomy across injured vertebral forⅤdegree old frac-ture-dislocations of thoracolumbar spine.Methods The data of 4 patients who received horizontal osteotomy across injured vertebral internal fixation in our hospital from April 2010 to October 2012 were retrospectively analyzed,of which 1 case with T8-9 fracture dislocation,2 cases with T10-11 fracture dislocation,1 case with T11-12 fracture dislocation.The Franke1 classification of all patients were grade A.Results All 4 cases were achieved completely fracture reduction and followed-up for 2-14 months(an average of 7.4 months),who could get sitting posi-tion with the support of brace 1 week after operation.The postoperative follow-up indicated that all 4 cases got fusion,but there was no improve-ment for Franke1 classification.Conclusion The method of horizontal osteotomy across injured vertebral forⅤdegree old fracture-dislocations of thoracolumbar spine has good short-term clinical effect,with the advantages of shorter operation time,less bleeding and good reduction effect.