中文摘要：

目的对儿童和青少年胸腰段脊柱损伤的类型和治疗进行总结。方法对西安交通大学医学院附属红会医院2000年以来收治的177例胸腰段脊柱损伤患儿的临床资料、手术方法、疗效及机制进行对比分析研究。按照西安交通大学医学院附属红会医院的简易分型评估和治疗方法进行总结，分析此类人群的损伤特点和系统治疗方法。观察患儿临床、生理及心理效果。结果儿童和青少年胸腰段脊柱损伤177例，按照简易分型并治疗，Ia—c77例，Ⅱa40例、Ⅱb27例，Ⅱc33例，随访7～12个月。27例FrankelA级无变化，FrankelB级30例中28例恢复为FrankdC级，2例恢复为FrankelD级；FrankdC级27例中2例恢复为FrankelD级，25例恢复为FrankelE级；FrankelD级30例均恢复为FrankelE级。治疗前、后的影像学、视觉模拟评分、ODI、健康调查简表生理和心理状况评分、Dallas疼痛问卷测试、易精神状态量表、Baahel指数及生理测试等方面差异均有统计学意义（P均〈0．05）。结论此简易分型易于掌握，应用于儿童和青少年胸腰段脊柱损伤的处理效果良好，是合理的治疗策略。

英文摘要：

Objective To summarize the thoracolumbar injuries and treatment in children and adolescents. Methods Since 2000, clinical data, surgical methods, efficacy and mechanism of 177 children and adolescents with thoracolumbar spine injury treated in Honghui Hospital of Xi＇an Jiaotong University School of Medicine were analyzed and compared. Treatment was in accordance with easy typing method of Honghui Hospital of Xi＇an Jiaotong University School of Medicine. The principles and systematic methods of analysis of such damage was emphasized. Clinical, physio- logical and psychological effects were observed. Results According to easy typing method of Honghui Hospital of Xi＇an Jiaotong University School of Medicine. I a-c 77 cases, II a 40 cases. Twenty-seven cases of Frankel A were un- changed. There were 28 cases that had been restored to Frankel C in 30 cases of Frankel B. There were 2 cases that had been restored to Frankel D in 30 cases of Frankel B. There were 2 cases that had been restored to Frankel D in 27 cases of Frankel C. There were 25 cases that had been restored to Frankel E in 27 cases of Frankel C. There were 30 cases that had been restored to Frankel E in 30 cases of Frankel D. In 177 patients, imaging, VAS, ODI, SF-36, DPQ, MMSE, Barthel and psychology had achieved significant differences before and after treatment for follow-up of 7 - 12 months （all P 〈 0. 05 ）. Conclusions Simple type is easy to grasp. It applies to children and adolescents treatment of thoracic and lumbar spine injury to good effect. It is a reasonable treatment strategy.