期刊文献+

中上段胸椎骨折脱位手术入路的选择 被引量:1

The Choice of Surgery Approach in the Treatment of Middle-upper Thoracic Fracture and Dislocation
下载PDF
导出
摘要 目的复习一组内固定治疗中上胸椎骨折脱位的临床资料,探讨不同手术入路行内固定的治疗效果及理论依据。方法自2002年11月至2007年12月,吉林大学中日联谊医院共手术治疗中上胸椎骨折脱位32例,其中23例行后路椎弓根螺钉内固定治疗中上胸椎骨折脱位,9例行前路手术钢板内固定治疗中上胸椎骨折脱位。结果所有患者均获得随访,随访时间3-48个月,平均25.5个月。均无术中严重并发症,伤椎前缘高度由术前平均40.4%恢复到术后平均90.3%;脊髓不完全损伤的患者ASIA分级提高1-2级,脊髓完全损伤的患者感觉运动评分有不同程度上升,平均上升21.7分。结论对于不伴有脱位的T1-3骨折,无论新鲜或陈旧骨折,低位下颈椎及经胸骨柄入路有明显的优势;对于T4-9骨折脱位患者前路损伤大,倾向于后路手术。 Objective To review a group of clinical data of surgery implanting treatment middle-upper thoracic fracture and dislocation and explore the clinical effect.Methods Through the retrospective analysis of 32 patients of middle-upper thoracic fracture and dislocation,following time from 3 months to 48months,average 25.5 months.Results All of the cases have not serious compliment.Anterior height of vertebral body has been recovered from40.4 percent to 90.3 percent after operation;the patients with incomplete spinal cord injures improved one to two grade,according to ASIA grade of spinal cord injury;the patients with complete spinal cord injures improve 21.7 scores on average,according to Sensory and Motion Scores.Conclusion The lower anterior cervical approach and episternal approach are very good for T1 to T3 fracture without dislocation.Posterior approach is benefit for T4 to T9 fracture with dislocation.
出处 《实用骨科杂志》 2010年第6期401-403,共3页 Journal of Practical Orthopaedics
关键词 胸椎 骨折 脱位 内固定 手术入路 thoracic vertebrae bone fracture dislocation internal fixation surgery approach
  • 相关文献

参考文献14

  • 1Schweighofer F,Hofer HP,Wildburger R,et al.Unstable fractures of the thoracic spine[J].Langenbecks Arch Chir,1997,382(1):25-28.
  • 2Hamilton A,Webb JK.The role of anterior surger for vertebral fractures with or without cord compression[J].Clin Orthop,1994,(300):79-89.
  • 3Rossitti S,Stephensen H,Ekholm S,et al.The anterior approach to high thoracic(T1~T2) disc herniation[J].Br J Neurosurg,1993,7(2):189-192.
  • 4Resnick DK.Anterior cervicothoracic junction corpectomy and plate fixation without sternotomy[J].Neurosurg Focus,2002,12(1):E7.
  • 5肖建如,贾连顺,袁文,陈德玉,倪斌,赵定麟.颈胸段脊柱肿瘤的前路手术治疗[J].中国矫形外科杂志,2001,8(8):743-745. 被引量:19
  • 6Comey CH,Mclaughlin MR,Moossy J.Anterior thoracic corpectomy without sternotomy:a strategy for malignant disease of the upper thoracic spine[J].Acta Neurochir(Wien),1997,139(8):712-718.
  • 7Sharan AD,Przybylski GJ,Tartaglino L.Approaching the upper thoracic vertebrae without sternotomy or thoracotomy:a radiographic analysis with clinical application[J].Spine,2000,25(8):910-916.
  • 8Fielding JW,Stillwell WT.Anterior cervical approaching to the upper thoracic spine:a case report[J].Spine,1976,1(3):158-161.
  • 9Yasui T.Sternum-splitting approach for ossification of the posterior longitudinal ligament in the cervicothoracic junction[J].No Shinkei Geka,1984,12(9):1021-1027.
  • 10Luk KD,Cheung KM,Leong JC.Anterior approach to the cervico-thoracic junction by unilateral or bilateral manubriotokmy:a report of five cases[J].J Bone Joint Surg(Am),2002,84(6):1013-1017.

二级参考文献7

  • 1饶书城,胡云洲,牟至善,李志铭,宋跃明,杨津平.胸腰椎骨折截瘫──前路减压的疗效探讨[J].中华骨科杂志,1994,14(1):16-18. 被引量:75
  • 2[1]Atsuro T, Norio K, Hisatoshi B, et al. Total En bloc spondylectomy[J]. Spine, 1997, 22(3): 324~ 333.
  • 3[2]Gail ED, Robert M, Richard P. Modified anterior approach to the cervicothoracic junction[J]. Spine, 1995, 20(13): 1519- 1 521.
  • 4[3]Kostuik JP, Connolly PJ, Esses SI, et al. Anterior Cervical plate fixation with the titanium hollow screw plate system [J]. Spine, 1993,18(10) :1273~1278.
  • 5[4]Howard SA, Alexander V, Jerome MC, et al. Spinal disorders of the cervicothoracic junction[J]. Spine, 1994, 19(22):2 257~2 564.
  • 6[5]Weistein JN, Mclain RF. Primary tumors of the Spine[J].Spine, 1987, 12(8):843~851.
  • 72,Ghanayem AJ,Zdeblick TA.Anterior instrumentation in the management of thoracolumbarburst fractures[J].Clin Orthop,1997;(335):89~100 1999-02-23收稿,1999-11-12修回

共引文献30

同被引文献8

引证文献1

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部