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[使用哈灵顿固定装置进行脊柱稳定术后创伤性脊髓损伤的康复问题]

[Rehabilitation problems in traumatic spinal cord injuries following spinal stabilization using Harrington's fixation device].

作者信息

Klauber A, Molnár F, Zsolczai S, Pentelényi T

机构信息

Országos Orvosi Rehabilitációs Intézet, közleménye.

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1990;33(2):123-8.

PMID:1973758
Abstract

Authors describe their experiences in medical rehabilitation of 18 patients with traumatic injuries of the medulla after spinal stabilisation with Harrington instrument. The Harrington method is a classical method for spinal stabilization used in the whole world. Besides its doubtless advantages experiences are gathered on its numerous disadvantages: It is not suitable for direct reduction, its stability is insufficient against flexion and extension forces, its biomechanical characteristics are not the most favourable in respect of consolidation, it is too long and includes healthy sections of the spine in immobilization, finally external fixation is needed. For all this, the claims of modern rehabilitation cannot be fulfilled. In possession of newer, more modern methods (fixateur interne, groove plate) the use of it is not at all recommended.

摘要

作者描述了他们对18例采用哈林顿器械进行脊柱固定术后延髓创伤性损伤患者的医学康复治疗经验。哈林顿方法是一种在全世界范围内使用的经典脊柱固定方法。除了其毋庸置疑的优点外,人们也积累了关于其诸多缺点的经验:它不适用于直接复位,其稳定性在抵抗屈伸力方面不足,在骨愈合方面其生物力学特性并非最有利,它过长且在固定时包括了脊柱的健康节段,最后还需要外固定。基于所有这些原因,现代康复的要求无法得到满足。鉴于有更新、更现代的方法(内固定器、槽形钢板),根本不建议使用哈林顿方法。

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