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经伤椎固定治疗相邻节段脊柱骨折脱位的临床研究 被引量:1
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作者 台会平 刘杰 《中国医师进修杂志(外科版)》 2009年第10期28-30,共3页
目的 探讨相邻节段脊柱骨折脱位、经伤椎椎弓根固定的手术方法及效果。方法对12例相邻节段胸腰椎骨折脱位患者进行伤椎及上下椎体椎弓根固定治疗,伤椎根据骨折情况选择单侧或双侧固定,并进行后路椎板减压,横突间植骨融合术。骨折椎体... 目的 探讨相邻节段脊柱骨折脱位、经伤椎椎弓根固定的手术方法及效果。方法对12例相邻节段胸腰椎骨折脱位患者进行伤椎及上下椎体椎弓根固定治疗,伤椎根据骨折情况选择单侧或双侧固定,并进行后路椎板减压,横突间植骨融合术。骨折椎体:T11~T12 5例,T12-~L1 4例,L1~L2 3例,均存在不同程度脱位。脊髓损伤ASIA分级:A级1例,B级4例,C级5例,D级2例。对手术前后及随访时的椎体前缘高度及后凸角度变化进行观察。结果随访6~26个月,平均(15.04±3.05)个月,椎体前缘高度由术前(18.4±4.2)mm恢复为术后(34.8±2.3)mm,后凸角度由术前23.6°±2.3°恢复为术后4.4°±2.6°,远期随访无明显丢失。结论经伤椎同定相邻节段脊柱骨折可有效地使脊柱骨折良好复位,固定牢靠,减少远期椎体高度的丢失及后凸形成。 展开更多
关键词 骨折同定 柱骨折 脊术后凸 椎体前缘高度
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MECHANICAL ANALYSIS AND TREATMENT OF HARRINGTON-RODS BROKEN AFTER INITIAL OPERATION FOR SCOLIOSIS
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作者 翁习生 张嘉 +2 位作者 邱贵兴 金今 林进 《Chinese Medical Sciences Journal》 CAS CSCD 1997年第4期232-235,共4页
Twenty-two cases of scoliosis with Harrington-rods broken after operation were treated by rod-sleevemethod. The results of follow-up from 1 year and 3 months to 9 years and 3 months showed that all of thepatients, but... Twenty-two cases of scoliosis with Harrington-rods broken after operation were treated by rod-sleevemethod. The results of follow-up from 1 year and 3 months to 9 years and 3 months showed that all of thepatients, but one patient occurred Harrington-rod rebroken and one’s fixation being removed because ofback pain in 6 months and 5 years and 11 months after rod-sleeve prpcedure, respectively, had no com-plaints. The author also found that the rod underwent a decrease in cross-sectional area of approximately43. 7 % at the ratchet-shaft junction in experimental study on Harrington-rods, and stress unfairly distribu-tion, stress concentration and cyclic loading producing fatigue in metals were proved to be the main cause ofbroken by mechanical analysis of Harrington-rod loaded in the body. In concluson, the rod-sleeve proce-dure was the effective method to keep from, Ha rrington - reds broken. 展开更多
关键词 SCOLIOSIS Harrington procedure rod-broken
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