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脊柱损伤并脊髓损伤患者的早期手术处理 被引量:19

Early surgical treatment for spinal injury associated with spinal cord damage
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摘要 本文以1989年3月~1990年1月收治陈旧性脊柱脊髓损伤患者53例为甲组,本院早期治疗32例为乙组。就其整复骨折脱位与内固定进行对比分析,以提高对早期手术康复的认识.作者强调对脊柱骨折脱位合并脊髓损伤患者,早期手术中过伸复位可达到复位完全,后弓角小于10°,椎体张开达80%以上这三项指标。脊髓减压,并给以短节段椎弓根螺丝内固定,以保持复位,早期进行康复. Two groups of patients were compared in the reduction of fracture-dislocation and internal fixation in order to deep one's understanding for early operation and rehabilitation, Group A consisted of 53 cases with old injury admitted from March 1989 to January 1990. Group B consisted of 32 cases with fresh injury operated immediately. The authors emphasized the hyperextensive reduction at the time of operation can achieve complete reduction. with less than 10 degree of kypbotic angle, and 80 percent of resuming of vertebral height. We should recommend the decompression of spinal cord, internal fixation by transpedicular screew of short segments and early rehabilitation for spinal cord injury..
出处 《中国脊柱脊髓杂志》 CAS CSCD 1991年第1期4-6,共3页 Chinese Journal of Spine and Spinal Cord
关键词 脊髓损伤 脊椎损伤 外科手术 Spinal cord injury Early surgical treatment: Internal fixation
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