Surgical treatment for thoracolumbar fractures of the spine / 医学研究生学报

ABSTRACT

With the development of transportation and industry，car accidents，falling accidents and firearm injuries have be⁃come the main causes of spinal fractures and spinal cord injuries. The thoracolumbar spine is the joint of thoracic kyphosis and lumbarlordosis after human bipedalism. From the perspective of biomechanics，it belongs to the weakest area of the spine and is prone to trau⁃matic fractures. A review from the literatures suggests that thoracolumbar fractures account for 40% of all spinal fractures. In recent years，with the development of biomechanics，biomaterials and digital medicine of the spine，new ideas，techniques and materials have been used for surgical treatment of spinal fractures.“Reconstruction stabilization and early rehabilitation”has become the princi⁃ple of treatment for spine surgeons to treat spinal thoracolumbar fractures. Regardless of patients with severe spinal cord injury or ad⁃vanced osteoporosis，perioperative evaluation，preoperative planning，and intraoperative injury control operation should be made，and surgical treatment should be the first choice for early rehabilitation and social return. New technologies and viewpoints such as digitalspine surgery，biomaterials，biomechanics and spinal surgery robots are gradually applied in the clinic. While applying these technolo⁃ gies，there are also many hot issues that deserve our attention. Not only the surgeries for thoracolumbar fractures，but also the surgical indications and expected effects have been rapidly developed and improved.