| 下胸椎微创徒手椎弓根置钉技术的初步研究 |
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| 引用本文： | 古安武,徐建立,钱俊,赖利英,刘玲珍,杨威,曹丽军.下胸椎微创徒手椎弓根置钉技术的初步研究[J].中国中医骨伤科杂志,2011(9):32-33. |
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| 作者姓名： | 古安武 徐建立 钱俊 赖利英 刘玲珍 杨威 曹丽军 |
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| 作者单位： | 深圳市龙岗区横岗人民医院;深圳市龙岗区平湖人民医院; |
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| 基金项目： | 深圳市科技计划项目(编号:200903233); 深圳龙岗区科技计划项目(编号:YL-2009027) |
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| 摘 要： | 目的:探讨微创徒手椎弓根置钉技术在下胸椎中应用的准确性研究。方法:2007年3月~2010年4月选定A组17例不需椎管减压胸腰段椎体骨折患者,术前CT三维重建及定位钢丝网辅助拍片确定椎弓根体表投影,做2cm切口,单纯依靠手感行徒手椎弓根钉置入,常规行骨折复位固定术。术后CT评价40枚下胸椎螺钉置入位置,统计相关的螺钉置入情况及并发症发生率,并与B组同期18例切开置入的40枚下胸椎椎弓根钉相比较。结果:A、B两组神经血管及内脏并发症发生率均为0,螺钉置入情况比较差异无统计学意义(P>0.05)。随访中未发现断钉、断棒及拔钉情况。结论:下胸椎微创徒手椎弓根置钉技术安全可靠,有诸多优点适合临床推广。
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| 关 键 词： | 微创 徒手技术 椎弓根钉 胸腰段骨折 内固定 下胸椎 |
Preliminary Study of Free Hand Pedicle Screw Replacement Technology in Lower Thoracic Spine under Minimally Invasive |
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| GU Anwu XU Jianxin QIAN Jun NAI Liyin LIU Linzhen YANG Wei CAO LijunHenggang People' Hospital of Shenzhen LonggangPinghu People' Hospital of Shenzhen Longgang,Shenzhen ,China.Preliminary Study of Free Hand Pedicle Screw Replacement Technology in Lower Thoracic Spine under Minimally Invasive[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2011(9):32-33. |
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| Authors: | GU Anwu XU Jianxin QIAN Jun NAI Liyin LIU Linzhen YANG Wei CAO LijunHenggang People' Hospital of Shenzhen LonggangPinghu People' Hospital of Shenzhen Longgang Shenzhen China |
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| Institution: | GU Anwu1 XU Jianxin1 QIAN Jun2 NAI Liyin1 LIU Linzhen1 YANG Wei1 CAO Lijun11Henggang People' Hospital of Shenzhen Longgang2Pinghu People' Hospital of Shenzhen Longgang,Shenzhen 518000,China |
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| Abstract: | Objective:To detect the accuracy application of free hand pedicle screw replacement technology in lower thoracic spine under minimally invasive.Methods:Seventeen cases of A group with thoracolumbar fractures but without decompression from March 2007 to April 2010,using three-dimensional reconstruction of CT and positioning steel wire X-ray to determine the surface projection of the pedicle of vertebral arch.Then made 2 cm incision,free hand inserted pedicle screw relying solely on hand-line,routine fracture... |
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| Keywords: | Minimally invasive Free hand technology pedicle of vertebral arch screw Thoracolumbar fractures Internal fixation Lower thoracic spine |
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