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骨折和脊髓损伤后的动态脊柱同种异体移植术(弹簧加载矫正装置)

Dynamic spine alloplasty (spring-loading corrective devices) after fracture and spinal cord injury.

作者信息

Weiss M

出版信息

Clin Orthop Relat Res. 1975 Oct(112):150-8.

PMID:1192628
Abstract

Dynamic alloplasty in spine fractures is a method of stabilization of the fracture site of the injured spine by obtaining a steady, gradual correction of the spine in accordance with Guttman's method. Gait training may begin within 2 weeks after surgery. The method shortens the rehabilitation time of paraplegics to approximately 3 months, as compared with the conventionally treated group. Dynamic spine fitting not only enables the patient to accept his disability, take interest in vocational and social rehabilitation sooner than conventional methods, but also prevents the typical psychological and physiological complications, such as depression, neurasthenic status, urological complications and bedsores. There is no need for prolonged muscle reconditioning because the patients are immobilized only for the essential postoperative period. Following our research on "Amputations with Immediate Prosthetic Fitting," we sould like to propose the term "Immediate Functional Paraplegic Fitting" for this technique.

摘要

脊柱骨折的动态异体成形术是一种通过按照古特曼方法对脊柱进行稳定、逐步矫正来稳定受伤脊柱骨折部位的方法。步态训练可在术后2周内开始。与传统治疗组相比,该方法将截瘫患者的康复时间缩短至约3个月。动态脊柱适配不仅能使患者比传统方法更快地接受自身残疾状况,对职业和社会康复产生兴趣,还能预防典型的心理和生理并发症,如抑郁、神经衰弱状态、泌尿系统并发症和褥疮。由于患者仅在术后关键时期固定,无需长时间的肌肉功能恢复训练。在我们对“截肢后立即安装假肢”的研究之后,我们想为这项技术提出“截瘫患者立即功能适配”这一术语。

相似文献

1
Dynamic spine alloplasty (spring-loading corrective devices) after fracture and spinal cord injury.骨折和脊髓损伤后的动态脊柱同种异体移植术(弹簧加载矫正装置)
Clin Orthop Relat Res. 1975 Oct(112):150-8.
2
[Early surgical treatment of traumatic paraplegia with an external fixation device and diagonal vertebroplasty].
Unfallchirurg. 1985 Jul;88(7):293-8.
3
[After-care and rehabilitation following surgical treatment of vertebral fractures].[椎体骨折手术治疗后的护理与康复]
Ther Umsch. 1989 Jul;46(7):429-34.
4
[Unstable fractures of the spine. IV. Stabilization methods and their results. B. Surgical methods. 1. synthesis of the injured dorso-lumbar spine by plates screwed into vertebral pedicles].[脊柱不稳定骨折。IV. 稳定方法及其结果。B. 手术方法。1. 通过拧入椎弓根的钢板对损伤的胸腰椎进行固定]
Rev Chir Orthop Reparatrice Appar Mot. 1977 Jul-Aug;63(5):452-6.
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[Spinal injuries in children and adolescents].[儿童和青少年的脊柱损伤]
Acta Chir Orthop Traumatol Cech. 2006 Oct;73(5):313-20.
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[Case report: fracture of the dorsal spine with complete paraplegia].[病例报告:胸椎骨折伴完全性截瘫]
Soins Chir (1981). 1981 Sep(7):51-5.
7
Dorso-lumbar spine fractures: recumbent vs. operative treatment.胸腰椎骨折:卧位治疗与手术治疗
Paraplegia. 1980 Dec;18(6):358-76. doi: 10.1038/sc.1980.64.
8
[Early surgical therapy of traumatic injuries of the spinal cord (author's transl)].脊髓创伤的早期外科治疗(作者译)
Orthopade. 1980 Jan;9(1):34-44.
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[Treatment of thoracolumbar spinal fractures using internal fixators (evaluation of 120 cases)].[应用内固定器治疗胸腰椎脊柱骨折(120例病例分析)]
Acta Chir Orthop Traumatol Cech. 2001;68(2):77-84.
10
[Decompression and internal fixation in the treatment of thoracolumbar spine and spinal cord injury: report of 166 cases].
Di Yi Jun Yi Da Xue Xue Bao. 2002 Jan;22(1):82-3.

引用本文的文献

1
Spring alloplasty in the treatment of fractures of the thoracic and lumbar spines. A correlation of the results of treatment with the mechanism of injury.胸廓成形术治疗胸腰椎骨折。治疗结果与损伤机制的相关性。
Int Orthop. 1989;13(1):33-7. doi: 10.1007/BF00266720.
2
Percutaneous interbody osteosynthesis in the treatment of thoracolumbar traumatic or tumoural lesions. A review of 51 cases.经皮椎体间骨合成术治疗胸腰椎创伤性或肿瘤性病变:51例病例回顾
Acta Neurochir (Wien). 1990;102(1-2):42-53. doi: 10.1007/BF01402185.
3
The fixateur interne for stabilising fractures of the thoracolumbar and lumbar spine.
用于稳定胸腰椎和腰椎骨折的内固定器。
Int Orthop. 1992;16(4):322-9. doi: 10.1007/BF00189614.