爆裂骨折是脊柱压缩性骨折的一种特殊类型 ,约占脊柱骨折的 2 0 %。Denis认为骨碎片后移进入椎管是爆裂型骨折的特点及合并神经损伤的主要原因〔1〕 ,属不稳定性脊柱创伤 ,可能导致严重的不可逆性的神经损伤后遗症 ,临床预后不良。回顾分析本院脊柱外伤病人 10 2例中有 2 0例属 Burst fractures are a special type of vertebral compression fractures, accounting for 20% of the fractures of the spine. Denis that the bone fragments moved back into the spinal canal is a characteristic of the burst fracture and the main reason for nerve injury 〔1〕, is an unstable spinal trauma may lead to serious irreversible neurological injury sequelae, the clinical prognosis is poor. A retrospective analysis of 20 patients with spinal trauma in our hospital has 20 cases