胸腰椎骨折的手和非手术治疗.docVIP

Seminars inSPINE SURGERYOperative versus Nonoperative Treatment of Thoracolumbar Burst Fractures胸腰段爆裂性骨折的手术与非手术治疗Adam L. Shimer, MD,* and Brian W. Su, MD? High energy injuries to the thoracolumbar TL region are commonly encountered and have been described since the time of Hippocrates. Despite this long history and mountains of manuscripts generated on the topic, the optimal care of TL burst fractures remains controversial. There is such great heterogeneity in study designs, inclusion criteria, and interventions used that traditional treatment guidelines require a critical re-evaluatio