【摘要】 目的 探讨胸腰椎爆裂性骨折的治疗特点与策略。方法 回顾性分析32例胸腰椎爆裂性骨折，非手术治疗7例，手术治疗25例，其中8例经椎弓根植骨椎体成型术联合内固定，17例只用椎弓根钉内固定。所有病例追踪观察6个月～3年。结果 非手术组除2例有手术指征而放弃手术致病情加重外，其余病例临床愈合良好;手术组有1例螺钉松动，无断钉，复查前后缘椎体高度恢复，Cobb角纠正满意。结论 胸腰椎爆裂性骨折应根据椎体稳定性及神经损伤程度来决定是否实施手术，手术入路与具体方法应根据骨折类型、椎管狭窄和后凸畸形程度来选择。

    Cheng Kaiming

    Department of Orthopaedics，Chencun Hospital of Shunde District，Foshan，Guangdong528313.

    【Abstract】 Objective To study the methods and effect for treatment of thoracolumbar burst fracture.Methˉods 32cases of thoracolumbar burst fracture were reviewed retrospectively.The patients were treated nonoperatively(11cases)and operatively(21cases).In the operative group，8cases were treated by combining transpedicular bone grafting spongisaplasty and short segment pedicle instrumentation fixation.17cases were treated by only short segment pedicle instrumentation fixation.The average duration of follow-up was6months～3years.Results In the nonoperˉative group ......