胸腰段无神经损伤型爆裂骨折治疗方式的比较

目的：应用对照研究的方法来比较、评估保守治疗、外科手术治疗无神经系统损伤的胸腰段前中柱骨折。方法：1999年3月～2002年7月本院收治胸腰段（T11-L2）无神经系统损伤的胸腰段前中柱骨折患者，随机分为手术组（A）、保守组（B）共同34例，获随访28例。其中手术组11例，保守组17例，随访比较2年。结果：通过受伤椎体及神经系统观察提示：保守组（B）无良好复位，手术组（A）复位良好，差异显著；保守组（B）后期多出现神经症状，手术组（A）无神经症状出现，有显著差异。结论：无神经系统损伤的胸腰段前中柱骨折应早期积极手术治疗。

Relative investigation of treatment to thoracolumbar burst fracture with no nervous lesion

Objective:Using control study to compare conservative and operative therapy for the anteromedial column fractures of thoracolumbar spine with no nervous lesion.Methods:Thirty-four cases with no nervous lesion that were diagnosed with the anteromedial column fractures of thoracolumbar spine,including T11-L2 from March 1999 to July 2002.28 cases were followed up for two years,including 11 in Group A as operative theray group,17 in group B as conservative theray group.Results:It was significant differences could be obviously researched via scatching vertebrae and nervous lesion on X-ray and CT.Group A had an excellent reduction,group B worse,in advanced stage,most B had nervous syndromes and A had not them.Conclusion:The anteromedial column fractures of thoracolumbar spine with no nervous lesion should be operated actively in the early time.spinal fractures;spinal cord injury;thoracic vertebrae;lumber vertebrae