两种手术入路在胸腰椎骨折伴脊髓损伤治疗中的效果比较

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Abstract Objective To compare the clinical effects of two operative approaches in the treatment of thoracolumbar fractures with spinal cord injury.Methods We included 78 patients with thoracolumbar fractures and spinal cord injuries treated in our hospital (2016.1~2017.1).According to the surgical approach，there were 40 patients in the anterior group and 38 in the posterior approach group.The operative time，blood loss，blood transfusion，bone graft fusion time，Cobb angle，spinal canal stenosis rate and spinal neurological function were compared between the two groups.Results The operation time，blood loss，and blood transfusion volume in the anterior group were significantly higher than those in the posterior group (P＜0.05).There was no significant difference in the fusion time between the anterior group and the posterior group (P＞0.05).There was no significant difference in Cobb angle and spinal stenosis rate between the two groups before surgery and 1 week after surgery (P＞0.05).At 6 months after operation，the Cobb angle of the anterior group was lower than that of the posterior group (P＜0.05).There was no significant difference in the rate of spinal stenosis between the two groups (P＞0.05).At 1 week and 6 months after operation，Cobb in both groups was significantly lower than that before surgery (P＜0.05)，and the rate of spinal stenosis was significantly higher than before surgery (P＜0.05).At 6 months after operation，there was no significant difference in the ASIA spinal neurological function between the two groups (P＞0.05).Conclusion Anterior surgery has the disadvantage of greater surgical trauma in patients with thoracolumbar fractures and spinal cord injuries compared with posterior surgery，but Cobb angle maintenance after surgery is better，and there is no significant difference in spinal cord functional recovery between the two treatment.

Key words： surgical approach thoracolumbar fracture spinal cord injury

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	Articles by authors
	Jie Junjie
	Li Ruofei
	Liang Huiping

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Jie Junjie,Li Ruofei,Liang Huiping. Comparison of Two Surgical Approaches in the Treatment of Thoracolumbar Fractures with Spinal Cord Injury[J]. sygkzz, 2018, 24(11): 975-978.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2018/V24/I11/975

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