| 陈旧性胸腰椎骨折后凸畸形伴脊髓损伤的手术治疗 |
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| 引用本文： | 刘洪智,李明,孙书海,孙煜杰. 陈旧性胸腰椎骨折后凸畸形伴脊髓损伤的手术治疗[J]. 中国矫形外科杂志, 2006, 14(2): 112-114 |
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| 作者姓名： | 刘洪智 李明 孙书海 孙煜杰 |
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| 作者单位： | 1. 山东省烟台市毓璜顶医院骨科,264000
2. 山东大学齐鲁医院骨科,济南市,250012 |
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| 摘 要： | [目的]探讨陈旧性胸腰椎骨折后凸畸形伴脊髓损伤的手术治疗方法及疗效。[方法]回顾1998～2003年收治的陈旧性胸腰椎骨折伴有脊髓损伤病人36例，均采用经后路椎管前方减压。[结果]所有病人均得到随访．后凸畸形矫正满意，除3例完全性截瘫病人以外，其他病人均有Frankle分级Ⅰ级以上恢复。[结论]经后正中入路可以有效地实现椎管前方减压。
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| 关 键 词： | 陈旧性骨折 胸椎 腰椎 手术治疗 脊髓损伤 |
| 收稿时间： | 2005-02-21 |
| 修稿时间： | 2005-11-09 |
Surgical treatment of old thoraco-lumbar vertebral fracture with kyphosis and spinal cord injury |
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| LIU Hong-zhi , LI Ming, SUN Shu-hai,et al.. Surgical treatment of old thoraco-lumbar vertebral fracture with kyphosis and spinal cord injury[J]. The Orthopedic Journal of China, 2006, 14(2): 112-114 |
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| Authors: | LIU Hong-zhi LI Ming SUN Shu-hai et al. |
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| Affiliation: | Department of Orthopedics, Yuhuangding Hospital, Yantai 264000 |
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| Abstract: | [ Objective ] To explore the surgical method and clinical effects for the treatment of old thoraeo-lumbar vertebrral fracture with kyphosis and spinal cord injury[ Method] Thirty-six patients with old thoraeo-lumbar vertebral fracture with kyphosis and spinal cord injury from 1998 to 2003 ,all had undergone anterior decompression through posterior median approach. [ Result] All patients were followed-up. Kyphosis was rectified well. The Frankle classification of all but 3 patients with complete paraplagia increased one or more degrees after operation. [ Conclusion ] Operation through posterior median approach can achieve anterior decompression effectively. |
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| Keywords: | Old fracture Thoracic vertebrae Lumbar vertehrae Surgery Spinal cord injury |
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