| 后路复位椎弓根长短节段固定治疗严重胸腰椎骨折的临床疗效比较 |
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| 引用本文： | 朱裕成,郑红兵,马军,许兴柏,王冰,朱爱祥. 后路复位椎弓根长短节段固定治疗严重胸腰椎骨折的临床疗效比较[J]. 中国骨与关节损伤杂志, 2010, 25(9) |
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| 作者姓名： | 朱裕成 郑红兵 马军 许兴柏 王冰 朱爱祥 |
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| 作者单位： | 南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800;南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800;南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800;南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800;南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800;南京鼓楼医院集团宿迁市人民医院脊柱外科,江苏省,223800 |
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| 摘 要： | 目的比较经后路复位椎弓根长、短节段固定治疗严重胸腰椎骨折的临床疗效。方法 68例严重胸腰椎骨折患者采用短节段固定42例,长节段固定26例。随访时摄X线正侧位片,测量伤椎前缘高度及脊柱后凸角度,并评估神经功能恢复情况、腰痛程度和腰椎活动度。结果临床疗效、伤椎前缘高度及脊柱后凸角度的恢复,两组无显著性差异,但合并椎体II度以上脱位者长节段固定较短节段固定椎体复位更好,后凸角度丢失也较少;短节段固定3例发生内固定失效。结论严重胸腰椎骨折选择后路短节段或长节段固定,都能达到较满意的伤椎复位、临床疗效和畸形矫正,合并严重脱位选用长节段固定,在伤椎复位、矫正后凸畸形、减少内固定失效更有优势。
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| 关 键 词： | 严重胸腰椎骨折 短节段固定 长节段固定 |
Comparison of Clinical Effect of Long Segment Pedicle Screw System Versus Short Segmen for Treatment of Serious Thoracolumbar Spine Fracture |
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| Zhu Yucheng,Zheng Hongbing,Ma Jun,et al.. Comparison of Clinical Effect of Long Segment Pedicle Screw System Versus Short Segmen for Treatment of Serious Thoracolumbar Spine Fracture[J]. Chinese Journal of Bone and Joint Injury, 2010, 25(9) |
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| Authors: | Zhu Yucheng Zheng Hongbing Ma Jun et al. |
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| Affiliation: | Zhu Yucheng,Zheng Hongbing,Ma Jun,et al.Department of Orthopedic,Suqian people's Hospital of Nanjing Drum Tower Hospital Group.Suqian,223800 |
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| Abstract: | Objective To compare the clinical effect of long segment pedicle screw system versus short segmenton for treatment of serious thoracolumbar spine fracture.Methods Sixty-eight patients with serious thoracolumbar spine fracture were fixed with pedicle screw system.Fourty-two patients were fixed with short segment,twenty-six patients were fixed with short segment.Injured vertebral height and spinal Cobbs angle on X-ray were measured.Neuro-function recovery,back pain,lumbar activity were evaluated.Results Post-... |
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| Keywords: | Serious thoracolumbar fracture Long segment fixation |
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