| Harrington撑开棒治疗脊柱胸腰段不稳定性骨折伴截瘫 |
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| 引用本文： | 龚维成,施健行,汤押庚,毛冠群,施伟,李剑平.Harrington撑开棒治疗脊柱胸腰段不稳定性骨折伴截瘫[J].徐州医学院学报,1987(3). |
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| 作者姓名： | 龚维成 施健行 汤押庚 毛冠群 施伟 李剑平 |
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| 作者单位： | 徐州医学院附院骨科
(龚维成，施健行，汤押庚，毛冠群，施伟)，徐州医学院附院骨科(李剑平) |
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| 摘 要： | 报告了18例Harrington撑开棒治疗脊柱胸腰段不稳定性骨折伴截瘫的临床效果。随访3～20月,7例不完全性截瘫基本恢复正常;11例完全性截瘫2例部分恢复。认为撑开棒具有牵引和固定的双重作用,能使骨折解剖复位,解除神经压迫,并长期维持脊柱的稳定性,是一种操作简便、疗效确切的治疗方法。同时介绍了钢丝固定损伤椎骨棘突和两侧撑开棒的方法。
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| 关 键 词： | 脊柱损伤 截瘫 矫形外科器材 Harrington氏棒 |
USE OF HARRINGTON DISTRACTION ROD FOR TREATING INSTABLE THORACOLUMBAR SPINAL FRACTURE COMPLICATED BY PARAPLEGIA |
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| Gong Weicheng,et al.USE OF HARRINGTON DISTRACTION ROD FOR TREATING INSTABLE THORACOLUMBAR SPINAL FRACTURE COMPLICATED BY PARAPLEGIA[J].Acta Academiae Medicinae Xuzhou,1987(3). |
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| Authors: | Gong Weicheng |
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| Abstract: | Eighteen cases of instable thoracolumbar spinal fracture complicated by paraplegia were treated with Harrington distraction rod. Follow-up for 3 to 20 months revealed that the neurological function in the 7 patients with incomplete paraplegia became almost normal,but among the 11 patients with complete paraplegia only 2 improved in sensation and motion. It is confirmed that Harrington distraction rod can serve both traction and stabilization, facilitate anatomical reduction of the fracture,decompress the involved spinal cord and maintain the spinal stability for long. The authors also described the method for fixing the vertebrae on to the opposite distraction rods with wires and discussed the indications for spinal fusion and laminectomy at operation. |
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| Keywords: | spinal injuries paraplegia orthopedic equipment Harrington rod |
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