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本文回顾了我院两年来经CT检查31例39个椎体的压缩性骨折病例。本资料研究表明椎体压缩性骨折形成椎管狭窄,椎管内游离碎骨片及附件骨折发生率较高,是影响预后的主要因素。而CT扫描可较好地发现上述改变从而对椎体压缩性骨折后三柱结构的稳定性分类提供更可靠的依据,进而可有效地指导治疗,手术方法、手术入路的选择等。以及对预后的估计有重要的意义。同时作者认为CT扫描应成为椎体压缩性骨折的常规检查方法之一,尤其对;Ⅱ°-Ⅲ°以上压缩性骨折更应尽早行CT检查。
This article reviews our hospital in the past two years by the 31 cases of 39 cases of vertebral compression fracture cases. The data studies show that the formation of vertebral compression fractures of the spinal canal, spinal canal free fragments and attachment fractures higher incidence of prognosis is the main factor. The CT scan can better find the above changes so as to provide a more reliable basis for the stability classification of three-column structure after vertebral compression fractures, which can effectively guide the treatment, surgical methods, surgical approach choices. As well as the prognosis of the estimates of great significance. At the same time, the authors believe that CT scan should become one of the routine examination of vertebral compression fractures, especially for; Ⅱ ° -Ⅲ ° compression fractures should be performed as soon as possible CT examination.