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一名多发伤患者胸椎椎弓根螺钉置入致食管损伤:病例报告及文献复习

Esophageal injury from thoracic pedicle screw placement in a polytrauma patient: a case report and literature review.

作者信息

O'Brien J R, Krushinski E, Zarro C M, Sciadini M, Gelb D, Ludwig S

机构信息

Department of Orthopaedic Surgery, University of Maryland Medical System/R. Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201, USA.

出版信息

J Orthop Trauma. 2006 Jul;20(6):431-4. doi: 10.1097/00005131-200607000-00012.

DOI:10.1097/00005131-200607000-00012
PMID:16825971
Abstract

The authors present a case report illustrating a visceral complication that may occur as result of thoracic pedicle screw placement. The case describes the previously unreported occurrence of esophageal impingement secondary to anterior vertebral body perforation by a pedicle screw at the third thoracic vertebra. This case highlights the challenge of thoracic pedicle screw placement and the importance of preoperatively measuring the maximum anterior-posterior dimension of the vertebral body.

摘要

作者报告了一例病例,该病例显示了胸椎椎弓根螺钉置入可能导致的内脏并发症。该病例描述了第三胸椎椎弓根螺钉穿破椎体前方导致食管受压这一此前未被报道的情况。该病例突出了胸椎椎弓根螺钉置入的挑战以及术前测量椎体最大前后径的重要性。

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