270posterior decompression and reconstruction for severe thoracolumbar burst fracture of Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 15 270posterior decompression and reconstruction for severe thoracolumbar burst fracture of Perioperative Nursing Of: Donghui Chun, Pinghu, Cai Xueyue [Keywords:] thoracolumbar fractures; care; perioperative Thoracolumbar burst fracture refers to the former, in the column under axial compression load damage occurs, is a common spinal injury [1]. With modern construction and the rapid development of the transport industry, the growing number of high-energy trauma , severe thoracolumbar burst fracture is also increasing. The violence often caused by a huge three-column spine are involved leading to serious instability in the spine, and often associated with posterior margin of vertebral bone into the spinal canal causes compression displacement convex spinal cord or cauda equina dysfunction. At present, for thoracolumbar burst fracture treatment options are still a lot of controversy [2]. posterior short segment pedicle fixation restore vertebral height and lordosis, but there after operation fixation failure and loss of correction of the problem; anterior decompression, but it is not conducive to dealing with traumatic posterior column injury and surgery larger. For this reason I designed the hospital orthopedic a simple decompression Jinghou Lu 270 reconstructive surgery to try to reduce the surgical trauma in the same time, achieve complete decompression of the spinal cord nerves and reliable reconstruction of the three columns. Since February 2005 to July 2008 the Court adopted this technique for severe thoracolumbar burst fracture of 31 patients cases, and achieved satisfactory results, but due to the existence of surgical operation time is longer, more blood loss and other risks, clinical nursing work a very high demand, now nursing reported as follows. 1 Clinical data 1.1 General information on 31 patients, 19 males and 12 females, aged 23 to 51 years, average 34.3 years old. Cause of his injuries: 16 cases of injury fa