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PLoS One. 2014 Aug 22;9(8):e105625. doi: 10.1371/journal.pone.0105625. eCollection 2014.

本文引用的文献

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Delayed posttraumatic thoracolumbar spinal deformities: diagnosis and management.
Neurosurgery. 2008 Sep;63(3 Suppl):117-24. doi: 10.1227/01.NEU.0000320385.27734.CB.
2
Long-term investigation of nonsurgical treatment for thoracolumbar and lumbar burst fractures: an outcome analysis in sight of spinopelvic balance.胸腰椎和腰椎爆裂骨折非手术治疗的长期研究：基于脊柱骨盆平衡的疗效分析
Eur Spine J. 2008 Aug;17(8):1073-95. doi: 10.1007/s00586-008-0700-3. Epub 2008 Jun 25.
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Management of late posttraumatic kyphosis with anterior Z-plate instrumentation.前路Z形钢板内固定治疗创伤后迟发性脊柱后凸
Am J Orthop (Belle Mead NJ). 2008 Feb;37(2):76-80.
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Surgical management of posttraumatic thoracolumbar kyphosis.创伤后胸腰椎后凸畸形的手术治疗
Spine J. 2008 Jul-Aug;8(4):666-77. doi: 10.1016/j.spinee.2007.03.006. Epub 2007 May 30.
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Pain regulation and health-related quality of life after thoracolumbar fractures of the spine.胸腰椎脊柱骨折后的疼痛调节与健康相关生活质量
Eur Spine J. 2007 Nov;16(11):1925-33. doi: 10.1007/s00586-007-0395-x. Epub 2007 May 23.
6
Surgical treatment for unstable low-grade isthmic spondylolisthesis in adults: a prospective controlled study of posterior instrumented fusion compared with combined anterior-posterior fusion.成人不稳定型低度峡部裂型腰椎滑脱症的手术治疗：后路器械融合与前后路联合融合的前瞻性对照研究
Spine J. 2006 Nov-Dec;6(6):606-14. doi: 10.1016/j.spinee.2006.02.032. Epub 2006 Oct 2.
7
Factors influencing the quality of life after burst fractures of the thoracolumbar transition.影响胸腰段移行区爆裂骨折后生活质量的因素。
Arch Orthop Trauma Surg. 2004 Sep;124(7):461-8. doi: 10.1007/s00402-004-0710-5. Epub 2004 Jul 9.
8
Clinical outcome and radiographic results after surgical treatment of post-traumatic thoracolumbar kyphosis following simple type A fractures.单纯A型骨折后创伤性胸腰椎后凸畸形手术治疗后的临床结果和影像学结果
Eur Spine J. 2004 Mar;13(2):101-7. doi: 10.1007/s00586-003-0576-1. Epub 2003 Nov 13.
9
Anterior-posterior surgery versus posterior closing wedge osteotomy in posttraumatic kyphosis with neurologic compromised osteoporotic fracture.前路手术与后路闭合楔形截骨术治疗合并神经损伤的骨质疏松性创伤后脊柱后凸畸形的比较
Spine (Phila Pa 1976). 2003 Sep 15;28(18):2170-5. doi: 10.1097/01.BRS.0000090889.45158.5A.
10
Spinal wedge osteotomy by a single posterior approach for correction of severe and rigid kyphosis or kyphoscoliosis.通过单一后路入路行脊柱楔形截骨术矫正重度僵硬性驼背或脊柱侧凸。
Spine (Phila Pa 1976). 2002 Oct 15;27(20):2260-7. doi: 10.1097/00007632-200210150-00015.

经椎间孔腰椎椎间融合术在陈旧性胸腰椎骨折脱位中的应用

Application of transforaminal lumbar interbody fusion in old thoracolumbar fracture and dislocation.

作者信息

Fang Xiangqian, Fan Shunwu, Zhao Xing

机构信息

Sir Run Run Shaw Hospital, Zhejiang University, Hang Zhou, China.

出版信息

J Spinal Cord Med. 2011 Nov;34(6):612-5. doi: 10.1179/2045772311Y.0000000025.

DOI:10.1179/2045772311Y.0000000025
PMID:22330118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3237289/
Abstract

BACKGROUND

The main indications for surgery for old thoracolumbar fractures are pain, progressive deformity, neurological damage, or increasing neurological deficit. These fractures have been one of the greatest therapeutic challenges in spinal surgery. Anterior, posterior, or combined anterior and posterior procedures have been successful to some extent. As far as we know, there is no report in the literature of transforaminal lumbar interbody fusion (TLIF) for old thoracolumbar fracture and dislocation.

METHODS

Case report.

RESULTS

A 26-year-old man with old fracture and dislocation of T12/L1 was treated with TLIF. At 12 months' follow-up, multi-slice computed tomography (CT) scans showed that solid fusion had been achieved between T12 and L1. Back pain had resolved completely at 2-year follow-up.

CONCLUSIONS

We performed TLIF for in a man with old fracture and dislocation of T12/L1, with good clinical outcome. TLIF might be an option in the treatment of old thoracolumbar fracture.

摘要

背景

老年胸腰椎骨折的主要手术指征为疼痛、进行性畸形、神经损伤或神经功能缺损加重。这些骨折一直是脊柱外科治疗中最大的挑战之一。前路、后路或前后联合手术在一定程度上取得了成功。据我们所知，文献中尚无关于经椎间孔腰椎椎间融合术（TLIF）治疗陈旧性胸腰椎骨折脱位的报道。

方法

病例报告。

结果

一名26岁男性，T12/L1陈旧性骨折脱位，接受了TLIF治疗。随访12个月时，多层螺旋计算机断层扫描（CT）显示T12和L1之间已实现牢固融合。随访2年时背痛完全缓解。

结论

我们对一名T12/L1陈旧性骨折脱位患者实施了TLIF，临床效果良好。TLIF可能是治疗陈旧性胸腰椎骨折的一种选择。