后路单侧侧前方椎体次全切除钛网重建椎体治疗高原胸腰椎爆裂骨折临床医学.docVIP

后路单侧侧前方椎体次全切除钛网重建椎体治疗高原胸腰椎爆裂骨折临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：后路单侧侧前方椎体次全切除钛网重建椎体治疗高原胸腰椎爆裂骨折临床医学 2 1 一般资料 3 2 手术方案 4 1 高原胸腰椎爆裂骨折传统手术方式的局限性 5 2 本手术方式的特点 6 3 本手术围手术期管理 7 文2：胸腰椎爆裂骨折后路侧前方减压钢板固定的疗效观察 8 1 临床资料 9 2 手术方法 9 3 结 果 11 4 讨 论 11 参考文摘引言： 13 原创性声明（模板） 14 文章致谢（模板） 15 正文 后路单侧侧前方椎体次全切除钛网重建椎体治疗高原胸腰椎爆裂骨折临床医学 文1：后路单侧侧前方椎体次全切除钛网重建椎体治疗高原胸腰椎爆裂骨折临床医学 Abstract： Objective To explore an operation method with less injury,thorough spinal cord decompression,prompt postoperative threecolumn stability of spine and early movement for patients with thoracolumbar but fractures in high Totally 42 patients with thoracolumbar but fractures in high altitude accepted posterior unilateral subtotal corpectomy,annular decompression of spinal cord,titanium mesh bone graft for recotruction of anterior and middle column combined with pedicle itruments cord injury was evaluated with ASIA grade ,decompression and fusion of fractures were evaluated through Xray and computer All operatio were completed mean operation time was hou and the mean blood loss was 740 fluid leakage occurred in 3 other severe complicatio were graft fusion was observed in followup looseness and rupture of internal fixation,no obvious loss of vertebral height,spinal radian and vertebral canal volume were function improved in different degree in all patients except those who had the nervous function of grade The operation of posterior unilateral subtotal corpectomy and recotruction of spinal threecolumn stability has the advantages of less injury,thorough spinal cord decompression,prompt postoperative threecolumn stability of spine,and can effectively restore vertebral height,vertebral canal volume,physiological radian and prompt stability of is an ideal operation method for the treatment of thoracolumbar but fractures in high altitude. Key words：thoracolumbar vertebra fracture;vertebrectomy;high altitude 由于 交通 事故和施工坠落的增多，胸椎、腰椎爆裂性骨折已经是高原脊柱外科最常见的损伤。轻型损伤大