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胸腰椎体骨折 被引量:3

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摘要 一、骨折分型和手术适应证 胸腰椎骨折为脊柱创伤的常见类型.在美国70%以上的脊柱骨折累及胸腰椎[1].全世界每年脊柱骨折的病患可达500万人左右[2-3].特别是胸腰椎交界处,尤其易发生创伤骨折.此外,腰椎的高度前弓、腰椎关节的矢状面结构,也决定了腰椎为脊柱创伤的高发区.虽然在临床上颇为常见,但其治疗方式及手术适应证尚存争议,何时应选用保守或手术治疗?哪一种手术入路为最佳方案?是否需要直接手术减压?内固定应延至多少脊柱阶段?上述问题一直是脊柱外科医生讨论的话题.本文就上述问题分析总结如下.
作者 王劲 张方迤
出处 《中华神经外科杂志》 CSCD 北大核心 2014年第7期734-742,共9页 Chinese Journal of Neurosurgery
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