期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

前、后路手术治疗胸腰椎爆裂骨折的临床分析 被引量：2

在线阅读 下载PDF
导出
摘要 目的:比较前路、后路手术治疗胸腰椎爆裂骨折的临床疗效。方法:回顾性分析我科2008年4月至2012年7月手术治疗的69例胸腰椎爆裂骨折患者,将患者分为两组:前路手术组32例,后路手术组37例。对比两组的术中失血量、手术时间、椎体后凸畸形角度(Cobb角)恢复、Cobb角丢失、术后神经功能改善情况。结果:两组Cobb角矫正角度、丢失度、手术时间、出血量差异有统计学意义(P<0.05),脊髓神经功能恢复无明显差异,前路组较后路组并发症多。结论:前路手术减压更充分,更能改善Cobb角,后路手术创伤较小,应根据胸腰椎骨折评分系统而严格把握手术适应证。
作者 韦向东 吕良庆 蒙世远
机构地区 广西横县人民医院骨科
出处 《广西医科大学学报》 CAS 2014年第1期120-122,共3页 Journal of Guangxi Medical University
关键词 胸腰椎 爆裂骨折 前路手术 后路手术
分类号 R683.1 [医药卫生—骨科学]
  • 相关文献

参考文献7

  • 1Vaccaro AR, Lehman RA, Hurlbert RJ, et al. A new classification of thoracolumbar injuries: the importance of injurymorphology,the integrity of the posterior liga- mentous complex, and neurologic status [J]. Spine, 2005,30(20) :2 325-2 333.
  • 2McComack T,Karaikoric E,Gaines RW. The load sha- ring classification of spine fraetures[J]. Spine, 1994,15: 1 741-1 744.
  • 3杨惠林,王根林,史金辉.合理选择胸腰椎骨折的手术方式[J].中华创伤杂志,2009,25(8):675-678. 被引量：2
  • 4Lin B,Chen Z,Guo Z,et al. Anterior approach versus- posteriorapproach with subtotal eorpectomy, decom pression, and reconstruetionof spine in treatment of thoracolumbar burstfractures: a prospective random- ized controlled study[J]. Spinal Disord Tech, 2011,10 : 1 097.
  • 5Mohanty SP, Bhat SN, Ishwara-Keerthi C. The effect ofposteriorinstrumentation of the spine on canal dimen- sions and neurological recovery in thoracolumbar and lumbar burst fractures[J]. Musculoskeletal Surg, 2011, 95:101-106.
  • 6林慰光,胡奕山,郑干轩,洪笃开,林本丹,赵卫东.单纯经后路手术能否取代传统前路手术治疗胸腰椎严重爆裂骨折[J].中国矫形外科杂志,2012,20(10):915-918. 被引量：9
  • 7Mcdonnell MF,Glassman SD,Dimar JR,et al. Perioper- ative complications of anterior procedures on the spine [J]. Bone Joint Surg(Am) ,1996,78:839.

二级参考文献30

  • 1Verlaan JJ, Diekerhof CH, Buskens E, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine : a systematic review of the literature on techniques complications and outcome. Spine, 2004, 29(7) :803 -814.
  • 2Vaccaro AR, Lira MR, Hurlbert RJ, et al. Surgical decision making for unstable thoracolumbar spine injuries: results of a consensus panel review by the spine trauma study group. J Spinal Disord Tech, 2006, 19(1) :1 - 10.
  • 3Vaccaro AR, Zeiller SC, Hurlbut R J, et al. The thoracolumbar injury severity score : a proposed treatment algorithm. J Spinal Disord Tech, 2005, 18(3) :309 -315.
  • 4Vaccaro AR, Baron EM, Sanfilippo J, et al. Reliability of a novel classification system for thoracolumbar injuries: the Thoracolumbar Injury Severity Score. Spine, 2006, 31 ( 11 S) : S62 - S69.
  • 5McCormark T, Karaikouic E, Gaines RW. The load sharing classification of spine fractures. Spine, 1994, 19( 15): 1741- 1744.
  • 6Parker JW, Lane JR, Karaikovic EE, et al. Successful short - segment instrumentation and fusion for thoracolumbar spine fractures: a consecutive 41/2 - year series. Spine, 2000, 25 (9) : 1157 -1170.
  • 7McLain RF. Functional outcomes after surgery for spinal fractures : Return to work and activity. Spine, 2004, 29(4) :470-477.
  • 8Yang HL, Shi JH, Liu JY, et al. Fluoroscopically -guided indirect posterior reduction and fixation of thoracolumbar burst fractures without fusion, lnt Orthop, 2008, [ Epub ahead of print].
  • 9Moon MS, Choi WT, Moon YW, et al. Stabilization of fractured thoracic and lumbar spine with cotrel - Dubousset instrument. J Orthop Surg (Hong Kong), 2003, 11 (1) :59 -66.
  • 10Gunduz T, Ilhami K. Posterior fixation of thoracolumbar burst fracture: short - segment pedicle fixation versus long - segment instrumentation. J Spinal Disord Tech, 2005, 18 (6) : 485 - 488.

共引文献9

同被引文献17

引证文献2

二级引证文献11

广西医科大学学报
2014年 第1期

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