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后路手术内固定治疗脊柱骨胸腰部骨折临床疗效评价 被引量:2
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作者 韩尚富 《系统医学》 2022年第11期47-51,共5页
目的评价脊柱骨胸腰部骨折患者采取后路手术内固定方案的临床治疗效果。方法选取2020年2月—2021年2月临沂河东中心医院收治的脊柱骨胸腰部骨折患者60例为研究对象,依据随机数表方法分为参照组、观察组,各30例。参照组应用前路手术方案... 目的评价脊柱骨胸腰部骨折患者采取后路手术内固定方案的临床治疗效果。方法选取2020年2月—2021年2月临沂河东中心医院收治的脊柱骨胸腰部骨折患者60例为研究对象,依据随机数表方法分为参照组、观察组,各30例。参照组应用前路手术方案,观察组应用后路手术内固定方案,评价分析两组临床疗效。结果观察组手术用时(165.39±25.14)min、住院天数(14.32±1.98)d短于参照组,差异有统计学意义(t=2.811、10.127,P<0.05);观察组术中失血量(356.32±47.52)mL低于参照组,差异有统计学意义(t=14.483,P<0.05);观察组腰椎功能(21.59±2.67)分、疼痛程度(1.57±0.52)分、运动功能(78.43±6.95)分均优于参照组,差异有统计学意义(t=4.722、7.558、4.042,P<0.05);观察组躯体健康(86.49±8.21)分、精神健康(87.55±8.19)分、生理功能(88.35±8.67)分、社会功能(89.68±8.93)分高于参照组,差异有统计学意义(t=4.652、4.009、3.870、7.097,P<0.05);观察组临床总疗效比参照组高,差异有统计学意义(χ^(2)=4.705,P<0.05);观察组不良反应总发生率较低于参照组,差异有统计学意义(χ^(2)=6.666,P<0.05)。结论和前路手术方案相比较,对脊柱骨胸腰部骨折患者实施后路手术内固定方案的临床疗效较显著,手术用时少、术中失血量低、治疗安全性高,可以促进患者腰椎功能的恢复效果,术后疼痛程度较轻,生活质量显著好转,具备良好的临床推广价值。 展开更多
关键词 腰椎功能 脊柱骨胸腰部骨折 生活质量 后路手术内固定 不良反应
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AF系统治疗单节段胸腰部脊柱骨折脱位
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作者 许真 雷刚刚 戴闽 《江西医药》 CAS 2003年第2期110-111,共2页
自1998年以来,我们采用AF内固定系统治疗单节段胸腰部脊柱骨折脱位25例,取得满意效果,现介绍如下:
关键词 AF系统 治疗 腰部脊柱骨折脱位 X线 CI
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AF系统治疗单节段胸腰部脊柱骨折脱位26例报告
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作者 周卫东 刘玖玖 《山东医药》 CAS 北大核心 2006年第21期72-72,共1页
关键词 腰部脊柱骨折脱位 AF系统治疗 单节段 AF内固定 经验体会
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IMAGING DIAGNOSIS OF THORACOLUMBAR BURST FRACTURES 被引量:4
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作者 Li-yangDai 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第2期142-144,共3页
Objective To review imaging use in the diagnosis of thoracolumbar burst fractures and to determine the diagnostic va-lue of different imaging methods. Methods One hundred and fourteen patients with 120 thoracolumbar b... Objective To review imaging use in the diagnosis of thoracolumbar burst fractures and to determine the diagnostic va-lue of different imaging methods. Methods One hundred and fourteen patients with 120 thoracolumbar burst fractures were retrospectively reviewed. Pl-ain radiographs were available in all cases; CT scans and MRI were obtained in 96 and 74 cases, respectively. Results A total of 27 burst fractures were misdiagnosed as other types of fractures on radiographs alone, and accounted for 22.5% of all fractures. The results indicated that plain radiographs often fail to delineate the pathological features of thor-acolumbar burst fractures, leading to delay in diagnosis. Conclusion In regard to thoracolumbar injury diagnosis, burst fractures should be differentiated from compression frac-tures. CT should be routinely indicated and MRI examination, when necessary, may be simultaneously considered. 展开更多
关键词 burst fractures imaging diagnosis thoracolumbar vertebrae
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Pedicle screw fixation with translaminar facet joint screws for the treatment of thoracolumbar fracture 被引量:7
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作者 殷渠东 郑祖根 蔡建平 《Chinese Journal of Traumatology》 CAS 2004年第6期354-357,共4页
Objective: To evaluate the efficacy of Cotrel-Dubeusset (CD) instrumentation combined with translaminar facet joint screw (TLS) in the treatment of thoracolumbar fracture.Methods: A total of six L2-L4 spines were ... Objective: To evaluate the efficacy of Cotrel-Dubeusset (CD) instrumentation combined with translaminar facet joint screw (TLS) in the treatment of thoracolumbar fracture.Methods: A total of six L2-L4 spines were used to establish unstable fracture model with three-dimensional range of motion (ROM) of the spines measured. Fixation with CD and fixation with CD combined with translaminar facet joint screw were achieved to compare their stability. Thirty cases of thoracolumbar fracture, in whom the anterior edge of vertebral body was compressed to 59% and the posterior edge compressed to 88%, were treated by pedicle screw fixation combined with TLS. Among them, 19 received posterolateral or anterior-posterior bone graftingResults: There was significant difference in ROM between the two techniques except that in extension. In Group CD+TLS, ROM was (5.38)% lower, lateral bending (4.91)% lower and axial rotation (11.85)% lower than those in Group CD respectively. In the clinical group, the average anterior edge restored to 97% and posterior edge to 98%. The duration of follow-up was 5-24 months (mean, 10 months). The rate of correction loss on the anterior edge was (4.5)%. Among the 19 cases of bone grafting, all of them achieved bony fusion (mean fusion time, (4.3) month) with a correction loss rate of (3.4)%.Conclusions: In the treatment of thoracolumbar fracture, pedicle screw fixation combined with TLS can strengthen the stability of pedicle screws, especially anti-rotation stability and enhance fusion rate and reduce correction loss. 展开更多
关键词 THORACOLUMBAR Translaminar screw Pedicle screw Fusion of spine
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Value of multidetector spiral CT in diagnosis of acute thoracolumbar spinal fracture and fracture-dislocation 被引量:4
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作者 龚静山 徐坚民 《Chinese Journal of Traumatology》 CAS 2004年第5期289-293,共5页
Objective: To investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation. Methods: CT imaging files of 152 consecutive traumatic patients with th... Objective: To investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation. Methods: CT imaging files of 152 consecutive traumatic patients with thoracolumbar fractures were retrospectively reviewed. MSCT scannings were performed with a collimation of 3-5 mm and a pitch of (5.5). The postprocessing included sagittal and coronal multiplannar reconstruction, and 3-D reconstruction.Results: There were 88 cases of compression fracture, 54 cases of burst fracture and 10 cases of fracture-dislocation. Transverse images of MSCT could visualize all fractures directly and determine whether spinal canal was intact. Postprocessing image was helpful in depicting the displacement of fragment and orientation of dislocation.Conclusions: MSCT plays an important role in diagnosis and management of acute thoracolumbar spinal fracture and fracture-dislocation. 展开更多
关键词 Image Processing Computer-Assisted Tomography Spiral Computed Adult Aged Cohort Studies Comparative Study Female Follow-Up Studies Fracture Fixation Fracture Healing Humans Injury Severity Score Lumbar Vertebrae Male Middle Aged Retrospective Studies Risk Assessment Sensitivity and Specificity Spinal Fractures Thoracic Vertebrae Treatment Outcome
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Clinical manifestations and significance of post-traumatic thoracolumbar syringomyelia 被引量:1
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作者 邱勇 朱泽章 +3 位作者 吕锦瑜 王斌 李卫国 朱丽华 《Chinese Journal of Traumatology》 CAS 2004年第1期52-55,共4页
Objective: To analyze the pathogenic mechanism and the clinical significance of post traumatic thoracolumbar syringomyelia through reviewing the clinical manifestations. Methods: The data of 15 patients (14 males and ... Objective: To analyze the pathogenic mechanism and the clinical significance of post traumatic thoracolumbar syringomyelia through reviewing the clinical manifestations. Methods: The data of 15 patients (14 males and 1 female, aged from 28 to 56 years, with an average of 36 years) with post traumatic syringomyelia treated in our hospital from December 1997 to February 2002 were studied retrospectively. Two patients suffered from T 11 fractures, 7 from T 12 fractures and 6 from L 1 fractures. There were 12 patients with burst fractures and 3 with fracture dislocations. Anterior decompression, bone graft, bone fusion and internal fixation were made on 6 patients, posterior decompression, bone graft, bone fusion and internal fixation on 1 patient, and non surgical treatment on 8 patients. Results: Syringomyelia of the patients was diagnosed accurately with magnetic resonance imaging at 0.5 4 years after the original thoracolumbar fracture. The cavern was round in 6 cases, elliptic in 6 cases, and irregular in 3 cases. The patients also suffered from pain (80%), myodynamia attenuation in lower extremities ( 66.7 %), aggravated spasm ( 46.7 %), sensation loss or hypesthesia ( 46.7 %), decreased coordinate function of lower extremities (20%) and autonomic nerve symptom ( 6.7 %). Conclusions: Post traumatic thoracolumbar syringomyelia should be suspected if the patient has new neurological symptoms, such as myodynamia attenuation in lower extremities, after the neural function becomes stable for certain time. 展开更多
关键词 Thoracic vertebrae Lumbar vertebrae FRACTURES SYRINGOMYELIA Magnetic resonance imaging
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