Abstract: 【Abstract】 Thoracolumbar burst fractures accounts for more than half of the spine fractures. It concerns about the stability of the spine and the damage to the nerve function, and the surgical treatment is often established in terms of personalization, skills and even experience of surgeon. Accordingly, the best treatment for thoracolumbar burst fractures is controversial, and the node is the choice between surgical treatment and conservative treatment, especially the fracture combined with nerve injury. At presence, open surgery has been the main way of surgical treatment, both through different approaches to spinal decompression, bone fracture reduction and fixation, achieving vertebral body fusion and recovery of nervous function. Minimally invasive treatment of thoracolumbar burst fracture is not a lot, due to a lack of high level of evidence. However, with the development of minimally invasive techniques and new types of fixation materials, minimally invasive treatment of thoracolumbar fractures is increasing, such as by the use of endoscopic anterolateral pedicle screw fixation or by percutaneous vertebroplasty.

Key words: Burst, Surgical method, Thoracic and lumbar vertebrae fracture

摘要： 【摘要】胸腰椎爆裂性骨折占脊柱骨折的一半以上。由于涉及到脊柱稳定性和神经功能损害，外科处理的复杂性往往建立在个性化、甚至经验方面的的考虑，因此，胸腰椎爆裂性骨折的最好治疗方法备受争议，结点是手术治疗和保守治疗的选择，尤其是神经功能尚好的骨折。目前，开放手术一直是外科治疗的主要方式，既通过不同入路途径进行椎管减压、骨折复位及固定，达到椎体的融合和促进神经功能恢复目的。微创治疗胸腰椎爆裂性骨折并不很多，目前尚缺乏高证据水平，但随着微创技术和新型固定材料的进步，微创条件下治疗胸腰椎骨折不断增多，如采用腔镜下前外侧入路或经皮入路的固定术式。

关键词: 爆裂性, 手术方法, 胸腰椎骨折