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1.
后路全脊柱截骨病灶清除、植骨内固定治疗胸椎结核   总被引:2,自引:0,他引:2  
目的 探讨后路全脊柱截骨病灶清除、植骨内固定治疗胸椎结核的临床效果.方法 21例胸椎结核患者采用后路切除椎板、双侧椎弓根后椎体病灶完全清除,分两侧斜植骨、后路固定.结果 随访18~70月,平均38月,10例神经损伤病人不同程度恢复,X线检查见全部患者于术后3~9月(平均7.5月)植骨融合,均恢复正常生活与工作.结论 经后路全脊柱截骨病灶清除、植骨内固定治疗胸椎结核,具有病灶清除彻底,无需开胸手术,术后恢复快等优点,是治疗脊柱结核的有效术式.  相似文献   
2.
Objective To investigate the clinical effects of pedicle screw fixation in the treatment of unstable Hangman fractures. Methods From October 2001 to April 2006, 15 patients with the unstable Hangman fractures were treated by the pedicle screw fixation after skull traction and reduction through posterior cervical approach. By Levine-Edwards classification, there were 3 cases of Ⅱ type, 4 cases of ⅡA type, 8 cases of Ⅲ type. Results The mean follow-up time was 17 (3 to 30) months. Six cases of Grade D by Frankel classification recovered to Grade E. Postoperative X-rays revealed bony union in all cases. No screw loosening or obvious functional limitation of the cervical vertebrae was found. In the cases of incomplete reduction, C2, 3 fixation was performed for patients without severe dislocation, and additional CA fixation with lateral mass screw was supplemented for patients with serere dislocation. Conclusion Posterior pedicle screw fixation of C2,3 or C2-4 is an effective and safe method for treating the unstable Hangman fractures.  相似文献   
3.
颈椎前路减压异体骨笼植入术   总被引:4,自引:1,他引:3       下载免费PDF全文
目的:评价颈椎前路环钻法减压、异体骨笼植入融合术的临床疗效.方法:采用椎间盘切除、异体骨笼植入治疗颈椎椎间盘病变患者60例,男25例,女35例;年龄37~72岁,平均47岁.并对其治疗结果进行分析.结果:60例患者平均随访23.2个月,不但临床症状得到改善,而且取得了骨愈合,并能维持颈椎解剖关系,无局部及全身异常反应.结论:颈椎前路环钻法减压、异体骨笼植入是具有应用前景的新方法.  相似文献   
4.
Objective To investigate the clinical effects of pedicle screw fixation in the treatment of unstable Hangman fractures. Methods From October 2001 to April 2006, 15 patients with the unstable Hangman fractures were treated by the pedicle screw fixation after skull traction and reduction through posterior cervical approach. By Levine-Edwards classification, there were 3 cases of Ⅱ type, 4 cases of ⅡA type, 8 cases of Ⅲ type. Results The mean follow-up time was 17 (3 to 30) months. Six cases of Grade D by Frankel classification recovered to Grade E. Postoperative X-rays revealed bony union in all cases. No screw loosening or obvious functional limitation of the cervical vertebrae was found. In the cases of incomplete reduction, C2, 3 fixation was performed for patients without severe dislocation, and additional CA fixation with lateral mass screw was supplemented for patients with serere dislocation. Conclusion Posterior pedicle screw fixation of C2,3 or C2-4 is an effective and safe method for treating the unstable Hangman fractures.  相似文献   
5.
经腓骨下段钢板间接复位固定术治疗胫腓骨远端骨折   总被引:1,自引:0,他引:1  
目的探讨经腓骨下段钢板间接复位固定治疗胫腓骨远端骨折的疗效。方法2002~2005年收治并经随访的胫腓骨远端骨折32例,根据AO/ASIF分型:A型17例,B型9例,C型6例,采用经腓骨下段铡板间接复位固定术,部分行胫骨下段正中小切口胫骨外侧植骨;术后均予以石膏托外固定踝关节于90°位3个月,观察伤口及骨折的愈合情况,6周后可逐渐加强踝关节功能锻炼。结果平均随访16个月(6~24个月),骨折均愈合,临床愈合时间平均14周,无伤口感染、钢板螺钉松脱折断及骨不连等并发症发生,根据Mazur的踝关节功能评分:优17例,良10例,可5例,优良率为84.4%。结论经腓骨下段钢板间接复位固定术治疗胫腓骨远端骨折,对骨折局部血供破坏小,并发症发生率低;虽术后需辅助长时间石膏固定,但加强踝关节功能锻炼仍可获得满意疗效。  相似文献   
6.
Objective To investigate the clinical effects of pedicle screw fixation in the treatment of unstable Hangman fractures. Methods From October 2001 to April 2006, 15 patients with the unstable Hangman fractures were treated by the pedicle screw fixation after skull traction and reduction through posterior cervical approach. By Levine-Edwards classification, there were 3 cases of Ⅱ type, 4 cases of ⅡA type, 8 cases of Ⅲ type. Results The mean follow-up time was 17 (3 to 30) months. Six cases of Grade D by Frankel classification recovered to Grade E. Postoperative X-rays revealed bony union in all cases. No screw loosening or obvious functional limitation of the cervical vertebrae was found. In the cases of incomplete reduction, C2, 3 fixation was performed for patients without severe dislocation, and additional CA fixation with lateral mass screw was supplemented for patients with serere dislocation. Conclusion Posterior pedicle screw fixation of C2,3 or C2-4 is an effective and safe method for treating the unstable Hangman fractures.  相似文献   
7.
Objective To investigate the clinical effects of pedicle screw fixation in the treatment of unstable Hangman fractures. Methods From October 2001 to April 2006, 15 patients with the unstable Hangman fractures were treated by the pedicle screw fixation after skull traction and reduction through posterior cervical approach. By Levine-Edwards classification, there were 3 cases of Ⅱ type, 4 cases of ⅡA type, 8 cases of Ⅲ type. Results The mean follow-up time was 17 (3 to 30) months. Six cases of Grade D by Frankel classification recovered to Grade E. Postoperative X-rays revealed bony union in all cases. No screw loosening or obvious functional limitation of the cervical vertebrae was found. In the cases of incomplete reduction, C2, 3 fixation was performed for patients without severe dislocation, and additional CA fixation with lateral mass screw was supplemented for patients with serere dislocation. Conclusion Posterior pedicle screw fixation of C2,3 or C2-4 is an effective and safe method for treating the unstable Hangman fractures.  相似文献   
8.
9.
目的 探讨治疗同侧股骨近段合并股骨干骨折合理的治疗方法.方法 1999年至2009年我院52例手术病人,分别经由延长型PFNA及其他手术方式(股骨重建髓内钉、长DHS或者分别内固定处理).结果 随访4~25个月,平均9.3月.骨折均愈合,分别固定手术复位较好但是功能差愈合时间长,用一套内固定物整体固定复位效果理想并且功能良好,其中应用延长型PFNA统计结果最好.结论 在同侧股骨近段合并股骨干骨折,整体固定优于分别固定,髓内固定优于髓外固定.同时长PFNA因为力学设计和手术步骤设计方面的优势使得在处理相关骨折时较有优势.以及长PFNA手术时应注意的一些问题.  相似文献   
10.
目的评价股骨近端抗旋髓内钉(PFNA)内固定治疗不稳定性股骨粗隆间骨折及粗隆下骨折的疗效及并发症。方法自2007年12月至2009年3月,采用PFNA内固定治疗不稳定性股骨粗隆间骨折及粗隆下骨折患者37例。结果平均手术时间48士11min,术中平均出血量70±15ml。所有病例获随访6~13个月,平均8个月。全部患者术后4.5个月内(平均3个月)达到临床骨折愈合标准,无骨折不愈合、内固定松动断裂及术后感染病例。按Harris髋关节功能评分,优24例,良10例,可3例,优良率为91.9%。结论PFNA内固定技术治疗不稳定性股骨粗隆间骨折及粗隆下骨折安全可靠,简便实用,疗效满意。  相似文献   
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