| AF系统治疗胸腰椎骨折失败原因分析 |
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| 引用本文： | 党晓谦,王坤正,王春生,刘安庆,张开放,宋金辉,程斌,柏传毅.AF系统治疗胸腰椎骨折失败原因分析[J].中国矫形外科杂志,2002,9(5):439-441. |
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| 作者姓名： | 党晓谦 王坤正 王春生 刘安庆 张开放 宋金辉 程斌 柏传毅 |
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| 作者单位： | 西安交通大学第二医院骨科,西安市西五路36号,西安,710004 |
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| 摘 要： | 目的：探讨AF钉治疗胸腰椎骨折的失误及预防。方法：采用后路减压AF钉固定术治疗胸腰椎骨折。结果：43例手术中7例术后出现骨折复位不满意或固定失败。结论：进钉错误、复位原理错误、过度牵张或张力不平衡等不做横突间植骨融合是失败的主要原因。进钉错误可以通过术中透视加以避免，而后3种错误属于认识上的错误，应引起足够的重视。
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| 关 键 词： | AF系统 治疗 胸腰椎骨折 失败原因分析 |
| 文章编号： | 1005-8478(2002)05-0439-03 |
| 修稿时间： | 2001年6月5日 |
Analysis of the Reason of Faults in Treatment of Thoracolumbar Vertebral Fracture with AF System |
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| DANG Xiao qian,WANG Kun zheng,WANG Chun sheng,et al..Analysis of the Reason of Faults in Treatment of Thoracolumbar Vertebral Fracture with AF System[J].The Orthopedic Journal of China,2002,9(5):439-441. |
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| Authors: | DANG Xiao qian WANG Kun zheng WANG Chun sheng |
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| Institution: | DANG Xiao qian,WANG Kun zheng,WANG Chun sheng,et al.Department of Orthopedics,the 2 nd Affiliated Hospital of Xian Communiated University,Xi'an 710004 |
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| Abstract: | Objective: To discuss the faults of thoracolumbar vertebral fracture treated with AF system and its prevention.Method:To treat of thoracolumbar vertebral fracture with decompression and internal fixation with AF system.Result:7 cases of the 43 case appeared unsatisfactory reduction or unsuccessful fixation.Conclusion:The main reason of failure is misplacement of pedicle screw,fault reduction principle,excessive or imbalance of tension and disapplication of inter transverse process fusion with bone graft.The fault of misplacement screw could be avoided with radiography monitor during operation,the other fault is due to the absent of knowledge,that should be taken enough attention to. |
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| Keywords: | AF system Thoracolumbar fracture Fault analysis |
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