Denis Ⅱ、Ⅲ型骶骨骨折伴神经损伤的治疗研究

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Abstract Objective To compare the effect of nerve exploration and decompression with fixation withsimple fracturefixation in Denis Ⅱ and Ⅲ sacral fractures with nerve injury patients.Methods Thirty-two patients (20 males and 12 females)，aged 18~60 years，with an average age of 41.7 years，who were hospitalized in our hospital from August 2016 to August 2018，were randomly divided into fixed group (n＝16 cases) and decompression group (n＝16 cases).They were treated with internal fixation and internal fixation plus nerve decompression respectively.Lindahl imaging score，ASIA disability grade and ISNCSCI score were compared between the two groups at 1，3 and 6 months after operation.Results The amount of bleeding in decompression group was more than that in fixed group (P＜0.05)，but there was no significant difference in the number of days in hospital between the two groups (P＞0.05).After 6 months of follow-up，there was no significant difference in Lindahl imaging score between the two groups (P＞0.05).Bone fusion and good healing were achieved in all cases.Compared with the recovery of nerve injury，there were differences between the two groups.Although the nerve injuries recovered to some extent after the two treatments，ASIA disability grade and ISNCSCI score both showed that the effect of decompression group was better than that of fixed group (P＜0.05).Conclusion For the patients with Denis Ⅱ and Ⅲ sacral fractures and nerve injury，strong fixation is the basis of fracture healing.On this basis，timely treatment of nerve exploration and decompression is more beneficial to the recovery of nerve injury.

Key words： sacral fracture nerve injury internal fixation nerve decompression scoring criteria

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	Liu Wei 1
	Yang Zhaohui 2

Cite this article:

Liu Wei 1,Yang Zhaohui 2. Treatment of the Denis Ⅱ and Ⅲ Sacral Fracture with Nerve Injury[J]. sygkzz, 2020, 26(2): 103-107.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I2/103

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