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伴完全性脊髓神经损伤胸腰椎骨折手术治疗的相关问题 被引量:9

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摘要 高能量损伤所致的胸腰椎骨折日益多见,而且多发于青壮年.严重胸腰椎骨折往往伴有脊髓神经损伤,约占18%.在美国,脊髓损伤的发生率约40/100万,每年新增脊髓损伤患者约11 000例,患者平均年龄为33岁,且有逐年增大的趋势;在损伤患者中以男性多见,约占81.1%.脊髓损伤中完全性损伤并不少见,约占34.1%.相对于腰椎,完全性脊髓神经损伤多见于胸椎.伴完全性脊髓神经损伤的胸腰椎骨折的治疗较为棘手,不仅因为胸腰椎形态方面的严重改变,而且完全性脊髓神经损伤一旦发生,其恢复非常困难,致残率高.目前,临床上对伴完全性脊髓神经损伤的胸腰椎骨折的认识仍不一致,对于其治疗更是争论不断.
作者 曾忠友
出处 《中华创伤杂志》 CAS CSCD 北大核心 2015年第7期581-584,共4页 Chinese Journal of Trauma
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