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目的：分析早期手术治疗胸腰段脊柱骨折对术后患者骨折愈合的程度及神经功能的影响。方法：选取2007年1月-2011年12月来本院接受治疗的胸腰段脊柱骨折合并脊髓损伤的68例患者，入院4天内施以手术治疗，并观察骨折的愈合情况和脊神经功能的恢复情况。结果：术后椎体脱位得到矫正，有5例A级的患者术后神经功能没有得到改善，其余的患者的神经功能术后均得到了不同程度的改善。结论：针对合并有脊髓损伤的胸腰段脊柱骨折患者，选择正确的手术路径尽早手术治疗，可以使患者的脊神经功能得到有效的恢复。“,”Objective: analyze the influence on the function and neural healing of postoperative patients with fracture of thoracolumbar spine fracture early operation treatment. Methods: 68 cases of patients with spinal cord injury from 2007 January -2011 year in December in our hospital for treatment of thoracolumbar spinal fracture, within 4 days after admission treated with surgical operation, and the recovery study of fracture healing and spinal nerve function. Results: postoperative vertebral dislocation were corrected, nerve function was not improved in 5 cases of class A patients, the rest of the nerve function of patients after operation were improved in different degree. Conclusion: for patients with spinal cord injury of thoracolumbar spinal fractures, selection of operation path correct treatment operation as soon as possible, can make the function of spinal nerve patients recovered effectively.