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目的:探讨前路减压治疗陈旧性胸腰椎骨折伴截瘫的临床效果.方法:12例患者中7例单纯行前路减压+植骨,5例会并骨折脱位或严重后凸畸形行前路成压+Kaneda钉矫形内固定+植骨.结果:经6月~3年5个月随访,10例按Frankel分级有1~3级改善,平均改善1.6级,总有效率达83.3％.结论:对于脊髓前方有明显压迫物存在的陈旧性胸腰椎骨折伴截瘫患者,前路减压视野清晰,减压充分,神经损伤小,截瘫恢复率高.“,”Objective: To study the clinical results of anterior decompression therapy for old thora-columbar fractures complicated with paraplegia (OTFCP). Method: Of 12 such patients, 7 underwentanterior decompression and bone graft, and 5 cases with fracture - dislocation or severe hyphosis receivedanterior decompression together with Kaneda screw orthesis, internal fixation and bone graft. Result:The follow - up varied from six months to 3 and a half year. According to Frankel calssification, 10 pa-tients improved from 1 to 3 grades, the total effective rate being 83. 3%. Conclusion: Anterior decom-pression for OTFP patients with obvious compressive object in front of the spinal cord leads to clear field ofoperation, sufficient decompression, less nerve injury and high - rate recovery for patients with paraple-gia.