【摘要】 目的 了解陈旧性胸腰段脊柱脊髓损伤前路手术疗效。 方法 对37例陈旧性胸腰段脊柱脊髓损伤患者经前路手术治疗的疗效进行回顾性分析。术后平均随访48.1个月。 结果 完全性神经损伤患者术后无明显感觉、肌力及膀胱功能恢复;不完全性神经损伤患者62.1%肌力改善，65.5%感觉改善，69.0%膀胱功能改善，92.1%植骨融合。单纯前路减压植骨难以矫正术后后凸畸形。 结论 陈旧性胸腰椎骨折不完全性脊髓损伤存在椎管内压迫的患者经前路减压术后仍可有神经功能恢复，ASIA运动评分可更好地评价神经损伤后神经功能改变;提高植骨质量及重建后柱功能有利于脊柱稳定;单纯前路植骨难以矫正陈旧性后凸畸形。

    关键词 胸腰椎 骨折 脊髓损伤 前路减压 治疗结果

    Anterior operative management for delayed thoracolumbar fractures with spinal cord injuries

    Chen Xueming，Yu Zhenshan，Wang Decheng，et al.

    Department of Orthopaedics，Luhe Hospital，Beijing101149.

    【Abstract】 Objective To observe the result of anterior operative management for delayed thoracolumbar spine and spinal cord injuries(SCI).Methods 37cases of delayed thoracolumbar spine and SCI were operated upon with anterior operative management.The average duration of follow-up was48.1months.The results were analyzed retro-spectively.Results The patients with complete SCI did not demonstrated obvious recovery of neurologic function.However ......