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[陈旧性创伤性颈椎脱位的外科治疗]

[Surgical treatment of neglected trauma related dislocations of the cervical vertebrae].

作者信息

Kiwerski J

机构信息

Ze Stołecznego Zespołu Rehabilitacji i Kliniki Rehabilitacji AM w Warszawie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1991;56(4-6):95-9.

PMID:1369913
Abstract

The series of 67 patients operated on for inveterate (more than 3 weeks since injury) trauma related dislocation of the cervical vertebrae between 1979 and 1990 is presented. Up to 3 months after injury an attempt to reduce the dislocation by means of the cranial traction has been undertaken. In cases of failure surgical reduction of the dislocation was performed. If this was unsuccessful in some cases the vertebral body narrowing spinal canal was removed. In 60% patients presenting neurological deficits a remarkable improvement was -- achieved what proves the surgical treatment to be useful even several months after injury.

摘要

本文介绍了1979年至1990年间因陈旧性(受伤超过3周)颈椎创伤性脱位而接受手术治疗的67例患者。受伤后3个月内,曾尝试通过颅骨牵引来复位脱位。若复位失败,则进行手术复位。在某些情况下,如果手术复位不成功,则切除椎体狭窄的椎管。60%有神经功能缺损的患者病情有显著改善,这证明即使在受伤数月后,手术治疗也是有效的。

相似文献

1
[Surgical treatment of neglected trauma related dislocations of the cervical vertebrae].[陈旧性创伤性颈椎脱位的外科治疗]
Chir Narzadow Ruchu Ortop Pol. 1991;56(4-6):95-9.
2
Neurological sequelae of reduction of fracture dislocations of the cervical spine.颈椎骨折脱位复位后的神经后遗症。
Paraplegia. 1979 Jul;17(2):212-21. doi: 10.1038/sc.1979.44.
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Operative management of bilateral facet dislocation.双侧小关节脱位的手术治疗
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[Pathomechanisms of spinal cord injuries caused by injuries of the cervical spine].[颈椎损伤导致脊髓损伤的发病机制]
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Overdistraction of cervical spinal injuries?颈椎损伤的过度牵引?
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Closed treatment of cervical fractures and dislocations.颈椎骨折与脱位的闭合治疗
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Rotational injury of cervical facets: CT analysis of fracture patterns with implications for management and neurologic outcome.颈椎小关节旋转损伤:骨折类型的CT分析及其对治疗和神经功能预后的意义
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Risk factors and surgical approaches in neglected subaxial cervical spine fractures-dislocations: Experiences with two cases and literature review.陈旧性下颈椎骨折脱位的危险因素及手术入路:两例经验及文献综述
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