期刊文献+

高能量伤致非相邻多节段胸腰椎骨折诊断和手术治疗策略 被引量:16

Diagnosis and surgical treatment strategies of multilevel noncontiguous thoracolumbar fracture caused by high-energy injuries
下载PDF
导出
摘要 目的探讨高能量损伤所致非相邻多节段胸腰椎骨折的特点、诊断及手术治疗方式。方法回顾性分析我院1995年1月至2009年1月手术治疗的高能量损伤所致非相邻多节段胸腰椎骨折患者37例,其中男28例,女9例,年龄19~55岁,平均34.5岁。总结影像学特点及手术前后美国脊髓损伤协会(ASIA)分级评分变化。结果 37例高能量损伤所致非相邻多节段胸腰椎骨折的主要骨折部位、骨折类型,以爆裂骨折和骨折脱位为主。脊髓不完全性损伤患者(B、C级)术后ASIA分级评分提高1~2级,而脊髓完全性损伤患者(A级)术后无改善。结论高能量损伤所致非相邻多节段胸腰椎骨折具有损伤暴力大、致伤机制复杂、脊髓损伤严重、伴发损伤多等特点。手术治疗应根据主要骨折部位及分型,选择固定融合节段。 Objective To discuss the clinical features of multilevel noncontiguous thoracolumbar fracture caused by high-energy injuries,and diagnosis and surgical treatment strategies.Methods Thirty-seven patients of multilevel noncontiguous thoracolumbar fracture treated by surgery from January 1995 to January 2009 in our hospital were retrospectively analysised. There were 28 males and 9 females,aged 19 to 55 years with the average of 34.5 years.We summarized the image features and follow-up improvements according to the American Spinal Injury Association(ASIA) classification.Results The fracture types of 37 cases of multilevel noncontiguous thoracolumbar fracture caused by high-energy injuries,were mainly burst fracture and fracture dislocation.After surgery,the ASIA classification of the incomplete spinal cord injury cases(class B or C) were improved 1-2 levels,whereas remained unchanged in the complete spinal cord injury cases(class A).Conclusions The multilevel noncontiguous thoracolumbar fracture caused by high-energy injuries have a serious complex injury mechanisms,severe spinal cord injuries and many accompanied injuries.The segments of fusion and fixation should be carefully chose based on the positions and types of fractures in the surgical treatments.
出处 《国际骨科学杂志》 2011年第1期63-64,68,共3页 International Journal of Orthopaedics
关键词 非相邻 多节段 胸腰椎骨折 诊断 手术治疗 Noncontiguous Multilevel Thoracolumbar fracture Diagnosis Surgical treatment
  • 相关文献

参考文献4

二级参考文献13

  • 1王华东,史亚民,侯树勋,李利.非相邻多节段脊柱骨折的诊断与手术治疗[J].中国脊柱脊髓杂志,2005,15(2):91-94. 被引量:26
  • 2唐三元,徐永年,陈庄洪,郑玉明,刘曦明.多节段脊柱骨折的分型诊断与治疗[J].中国中医骨伤科,1996,4(4):37-38. 被引量:13
  • 3Thomas KC, Lalonde F, O' Neil J, Letts RM. Multiple-level thoracolumbar burst fractures in teenaged patients. J Pediatr Orthop, 2003,23:119-123.
  • 4Lee TT, Green BA. Advances in the management of acute spinal cord injury. Orthop Clin North Am,2002,33:311-315.
  • 5Jorgensen DR, Joseph J Jr. Multiple noncontiguous spine fractures at four levels in a neurologically intact patient. J Trauma, 1996,41:750-753.
  • 6Korres DS, Boscainos PJ, Papagelopoulos PJ, Psycharis I, Goudelis G, Nikolopoulos K. Multiple level noncontiguous fractures of the spine. Clin Orthop, 2003,(411):95-102.
  • 7Patel RV, DeLong W, Vresilovic EJ. Evaluation and treatment of spinal injuries in the patient with polytrauma. Clin Orthop, 2004, (422):43-54.
  • 8Tropiano P, Huang RC, Louis CA, Poitout DG, Louis RP. Functional and badiographic outcome of thoracolumbar and lumbar burst fractures managed by closed orthopaedic reduction and casting. Spine, 2003, 28: 2459-2465.
  • 9Calenoff L,Chessare JW,Rogers LF,et al.Multiple level spinal injuries:importance of early recognition[J].Am J Roentgen,1978,130(4):665-669.
  • 10Vaccaro AR,An HS,Lin S,et al.Noncontiguous injuries of the spine[J].Spinal Disord,1992,5(3):320-329.

共引文献15

同被引文献114

引证文献16

二级引证文献74

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