陈应超;李健;

• 1:广州医学院第三附属医院骨外科

摘要(Abstract)：

胸腰椎爆裂骨折占胸腰椎骨折的50%以上,其经常导致神经损伤和脊柱后凸畸形,对于每一种类型的骨折其治疗方法各不相同,目前应用于临床的方法有保守疗法、前路手术、后路手术、前后路联合手术及微创手术,然而最佳的治疗方法仍然是不明确的,没有一种精确的分型来指导爆裂骨折的治疗及手术方式的选择。文章综述了胸腰椎爆裂骨折的治疗进展。有研究表明无神经损伤的稳定型爆裂骨折保守治疗和手术治疗并无明显差别。伴有神经损伤的不稳定型爆裂骨折早期手术减压和稳定是应当考虑的,有研究表明对于短节段固定联合各种不同方式的椎体成形术重建前柱可以明显减少内固定失败及远期脊柱后凸畸形的发生率而受到广大脊柱外科医生的推崇。按照生物力学原理及考虑到患者固定节段后相邻节段退变的发生,非融合技术已逐渐应用于临床,其远期疗效尚需进一步研究证实。

关键词(KeyWords)： 胸腰椎;爆裂骨折;治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈应超;李健;

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参考文献(References)：

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