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本文引用的文献

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Issues in surgical treatment of thoraco-lumbar injuries associated with spinal cord injuries in children and adolescents.儿童和青少年胸腰段损伤合并脊髓损伤的外科治疗问题
Am J Orthop (Belle Mead NJ). 2002 Nov;31(11):647-51.
2
Post-traumatic spinal deformity.创伤后脊柱畸形
Spine (Phila Pa 1976). 2001 Dec 15;26(24 Suppl):S111-8. doi: 10.1097/00007632-200112151-00019.
3
Long-term follow-up results of thoracolumbar fractures after posterior instrumentation.
Spine (Phila Pa 1976). 1995 Aug 1;20(15):1704-8. doi: 10.1097/00007632-199508000-00011.
4
Clinical review of patients with broken Harrington rods.哈灵顿棒断裂患者的临床回顾
J Bone Joint Surg Am. 1980 Dec;62(8):1302-7.
5
Harrington instrumentation as a method of fixation in fractures of the spine.哈林顿器械固定术作为脊柱骨折的一种固定方法。
J Bone Joint Surg Br. 1982;64(5):526-9. doi: 10.1302/0301-620X.64B5.7142259.
6
Unstable thoracolumbar fractures. A comparative clinical study of conservative treatment and Harrington instrumentation.不稳定型胸腰椎骨折。保守治疗与哈灵顿器械固定的对比临床研究。
Spine (Phila Pa 1976). 1985 Mar;10(2):111-22. doi: 10.1097/00007632-198503000-00001.
7
The use of Harrington rods in thoracolumbar fractures.
Orthop Clin North Am. 1986 Jan;17(1):87-103.
8
Late neurological complications of Harrington-rod instrumentation.
J Bone Joint Surg Am. 1989 Aug;71(7):1053-7.
9
Back pain and disability after Harrington rod fusion to the lumbar spine for scoliosis.用于脊柱侧弯的哈灵顿棒腰椎融合术后的背痛与残疾情况
Spine (Phila Pa 1976). 1992 Aug;17(8 Suppl):S249-53. doi: 10.1097/00007632-199208001-00006.

胸腰椎融合内固定移位的晚期并发症表现为脊髓损伤患者出现新的疼痛。

Late complications of displaced thoracolumbar fusion instrumentation presenting as new pain in individuals with spinal cord injury.

作者信息

Shem Kazuko L

机构信息

Santa Clara Valley Medical Center, Department of Physical Medicine and Rehabilitation, 751 South Bascom Avenue, San Jose, CA 95128, USA.

出版信息

J Spinal Cord Med. 2005;28(4):326-9. doi: 10.1080/10790268.2005.11753828.

DOI:10.1080/10790268.2005.11753828
PMID:16396383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1864899/
Abstract

BACKGROUND

Harrington rods and more modern thoracolumbar posterior fusion with segmental instrumentation have been used successfully for decades in individuals with scoliosis or spinal cord injury (SCI). However, late complications of these instrumentations specifically presenting as new, localized pain in individuals with SCI have not been previously reported. Displacement of the hooks and the rods can cause significant back pain that may require hardware removal.

METHODS

Two case reports illustrate thoracolumbar fusion rod removal because of displaced hooks with protruding rods and associated pain.

RESULTS

Both of the individuals experienced back pain caused by proximal hook displacement. There was no neurologic deterioration. The proximal portions of the rods were sawed off and the displaced hooks and the rods were removed.

CONCLUSIONS

These cases illustrate the importance of clarifying different types of pain experienced by individuals with SCI and the importance of diagnosing the cause of pain accurately.

摘要

背景

哈灵顿棒以及更现代的节段性器械辅助胸腰椎后路融合术已成功应用于脊柱侧弯或脊髓损伤（SCI）患者数十年。然而，这些器械的晚期并发症，特别是在SCI患者中表现为新出现的局部疼痛，此前尚未见报道。钩和棒的移位可导致严重的背痛，可能需要取出内固定装置。

方法

两例病例报告阐述了因钩移位、棒突出及相关疼痛而进行胸腰椎融合棒取出术的情况。

结果

两名患者均因近端钩移位而出现背痛。均无神经功能恶化。锯断棒的近端部分，取出移位的钩和棒。

结论

这些病例说明了明确SCI患者所经历的不同类型疼痛的重要性以及准确诊断疼痛原因的重要性。