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TSRH脊柱内固定术治疗急性多椎体骨折合并截瘫
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作者 吴方强 黄志 肖景宽 《中国急救医学》 CAS CSCD 北大核心 2003年第9期666-666,共1页
关键词 tsrh脊柱 内固定术 治疗 急性多椎体骨折 截瘫 合并症
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后路TSRH治疗KingⅣ型青少年特发性脊柱侧凸的术中配合
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作者 谢玲 肖映平 +3 位作者 甘志红 李思 刘秋秋 廖春花 《中国现代医学杂志》 CAS CSCD 2002年第13期86-87,共2页
目的 :探讨后路TSRH治疗KingⅣ型青少年特发性脊柱侧凸术中配合的相关问题。方法 :采用后路TSRH治疗 6例KingⅣ型特发性脊柱侧凸 ,冠状面Cobb氏角平均 6 7.6°(5 2°~ 80°) ,所有病例均采用后路TSRH钩、钉、棒进行矫形、... 目的 :探讨后路TSRH治疗KingⅣ型青少年特发性脊柱侧凸术中配合的相关问题。方法 :采用后路TSRH治疗 6例KingⅣ型特发性脊柱侧凸 ,冠状面Cobb氏角平均 6 7.6°(5 2°~ 80°) ,所有病例均采用后路TSRH钩、钉、棒进行矫形、内固定、融合。结果 :手术时间平均 15 0min ,术中出血平均 30 0ml,Cobb氏角平均矫正 5 5 .5° ,矫正率为 82 .1% ,矫形丢失率为 1.7%。结论 :采用TSRH治疗KingⅣ型侧凸效果良好 ,术中配合好能缩短手术时间。 展开更多
关键词 青少年特发性 脊柱侧凸 手术配合 KingⅣ型侧凸 tsrh脊柱内固定系统
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ANTERIOR SPINAL FUSION WITH TSRH INSTRUMENTATION FOR SCOLIOSIS 被引量:1
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作者 沈建雄 赵宏 +5 位作者 邱贵兴 金今 叶启彬 林进 王以朋 翁习生 《Chinese Medical Sciences Journal》 CAS CSCD 2003年第1期41-45,共5页
Objective. To introduce a new spinal internal fixation system, Texas Scottish Rite Hospital (TSRH), and to investigate its early clinical outcomes.Methods. The preliminary clinical outcomes of 15 patients with thoraco... Objective. To introduce a new spinal internal fixation system, Texas Scottish Rite Hospital (TSRH), and to investigate its early clinical outcomes.Methods. The preliminary clinical outcomes of 15 patients with thoracolumbar or lumbar scoliosis treated by anterior spinal fusion with TSRH instrumentation were studied retrospectively. Fourteen patients were diagnosed as idiopathic scoliosis and 1 as neuromuscular scoliosis.Results. Preoperatively, the Cobb's angle on the coronal plane was 55. 8° (range 35° - 78°), and 14° postoperatively, with an average correction of 74. 8 %. The average unfused thoracical curve was 35. 9 ° preoperatively (range 26° - 51°) and 21. 8° (10°-42° ) postoperatively, with 40% correction. The sagittal curve of lumbar was kept physiologically, preoperative 27. 9° and postoperative 25. 7° respectively. The trunk shift was 13.4 mm (5 - 28mm) preoperatively and 3. 5 mm (0-7 mm) postoperatively. The averaged apic vertebra derivation was 47. 8 mm (21 - 69 mm) before operation and 10. 8 mm (3-20 mm) after operation. The distance of C7 to center sacrum vertical line (CSVL) was 19. 5 mm(16 - 42)preoperatively and 11. 3 mm (0-32 mm) postoperatively. The apical vertebra rotation was 3 degree in 15 patients preoperatively, and were improved to normal in 10 patients, 1 degree in 4 patients, and 2 degree in 1 patients postoperatively. None had neurological injury and infection. Only 1 patient complained a cool feeling in the low extremity of concave side, and the symptom vanished at 3-month followed up.Conclusion. If used appropriately, TSRH anterior spinal system is a good treatment for low thoracic or thoracic lumbar scoliosis. 展开更多
关键词 SCOLIOSIS anterior spinal fusion tsrh instrumentation
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侧前路减压节段固定治疗胸腰椎爆裂性骨折伴不完全性瘫痪 被引量:1
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作者 刘先银 何仲佳 +5 位作者 朱文雄 李佛保 陈立言 莫新发 周雪明 郭建恩 《中国临床解剖学杂志》 CSCD 北大核心 2005年第4期434-436,共3页
目的:探讨侧前路减压短节段融合固定治疗胸腰椎体爆裂性骨折伴不完全性瘫痪的临床价值。方法:回顾31例胸腰椎体爆裂性骨折伴不完全性瘫痪,行侧前路减压,16例采用Z-PLATE、15例采用TSRH系统短节段融合固定。结果:31例均获得随访,平均随... 目的:探讨侧前路减压短节段融合固定治疗胸腰椎体爆裂性骨折伴不完全性瘫痪的临床价值。方法:回顾31例胸腰椎体爆裂性骨折伴不完全性瘫痪,行侧前路减压,16例采用Z-PLATE、15例采用TSRH系统短节段融合固定。结果:31例均获得随访,平均随访16个月(5~26个月),术后椎间隙高度及胸腰椎生理曲度恢复满意,平均Cobb's角(度)及平均椎管狭窄指数得到明显改善,Frankel分级提高1~3级。本组未发生断棒脱钉等并发症。结论:侧前路减压短节段融合固定具有符合胸腰椎生物力学要求、减压直接彻底及融合率高等特点,为脊髓神经功能的恢复尽可能提供最大机会。 展开更多
关键词 胸腰椎 爆裂骨折 减压 侧前入路 tsrh脊柱内同定系统 ZPLATE脊柱内固定系统
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