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Combined posterior-anterior stabilisation of thoracolumbar injuries utilising a vertebral body replacing implant.使用椎体置换植入物对胸腰段损伤进行前后联合稳定术。
Eur Spine J. 2009 Jul;18(7):949-63. doi: 10.1007/s00586-009-0970-4. Epub 2009 Apr 9.
2
[Operative treatment of traumatic fractures of the thoracic and lumbar spinal column: Part III: Follow up data].[胸腰椎脊柱创伤性骨折的手术治疗:第三部分:随访数据]
Unfallchirurg. 2009 Mar;112(3):294-316. doi: 10.1007/s00113-008-1539-0.
3
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.
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Spinal mobility in ankylosing spondylitis: reliability, validity and responsiveness.强直性脊柱炎中的脊柱活动度:可靠性、有效性及反应性
Rheumatology (Oxford). 2004 Jun;43(6):750-7. doi: 10.1093/rheumatology/keh169. Epub 2004 Apr 7.
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Functional outcomes after surgery for spinal fractures: return to work and activity.脊柱骨折手术后的功能预后:重返工作与活动
Spine (Phila Pa 1976). 2004 Feb 15;29(4):470-7; discussion Z6. doi: 10.1097/01.brs.0000092373.57039.fc.
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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.
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[Comparison of dorso-lateral and dorso-ventral stabilization procedures in the treatment of vertebral fractures].
Z Orthop Ihre Grenzgeb. 2003 Sep-Oct;141(5):573-7. doi: 10.1055/s-2003-42841.
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Functional outcome in patients with thoracolumbar burst fractures treated with dorsal instrumentation and transpedicular cancellous bone grafting.采用后路内固定及经椎弓根松质骨植骨治疗的胸腰椎爆裂骨折患者的功能预后
Eur Spine J. 2003 Jun;12(3):261-7. doi: 10.1007/s00586-002-0518-3. Epub 2003 Mar 21.
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Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study.胸腰椎爆裂骨折无神经功能缺损的手术治疗与非手术治疗对比:一项前瞻性随机研究。
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[Thoracolumbar spine fractures after conservative and surgical treatment. Dependence of correction loss on fracture level].
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手术治疗的胸腰椎骨折临床参数与生活质量参数的相关性

Association of clinical parameters of operatively treated thoracolumbar fractures with quality of life parameters.

作者信息

Thormann Ulrich, Erli Hans-Josef, Brügmann Marc, Szalay Gabor, Schlewitz Gudrun, Pape Hans-Christoph, Schnettler Reinhard, Alt Volker

机构信息

Department of Trauma Surgery, University Hospital Giessen-Marburg GmbH Campus Giessen, Rudolf-Buchheim-Str. 7, 35390, Giessen, Germany,

出版信息

Eur Spine J. 2013 Oct;22(10):2202-10. doi: 10.1007/s00586-013-2799-0. Epub 2013 May 7.

DOI:10.1007/s00586-013-2799-0
PMID:23649956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3804682/
Abstract

PURPOSE

The intention of the current work was to assess the association between clinical parameters and seven different quality of life (QoL) instruments after surgical treatment of thoracolumbar spinal fractures after an average follow-up of 4.2 years.

METHODS

The following human-related quality of life and PRO measures of 66 patients were correlated to clinical parameters such as fingertip-to-floor distance (FFD), Schober measurement, pressure and percussion pain in the lumbopelvine area (PPP), and paravertebral muscle tension: reALOS, SF-36, VAS, VAS spine score, BDI, the GBB-24, and the IES-R.

RESULTS

Overall, there was a significant association between the clinical parameters of the thoracolumbar spine such as PPP, paravertebral muscle tension, FFD and Schober's sign on one side, and the seven tested instruments on the other side.

CONCLUSIONS

PPP and FFD as well as a small Schober measurement are clinical parameters which significantly influence QoL after surgical treatment of thoracolumbar fractures.

摘要

目的

本研究旨在评估在平均随访4.2年的情况下,胸腰椎骨折手术治疗后临床参数与七种不同生活质量(QoL)评估工具之间的关联。

方法

对66例患者的以下与人类相关的生活质量和患者报告结局(PRO)指标与临床参数进行相关性分析,这些临床参数包括指尖至地面距离(FFD)、Schober测量、腰骶部区域的压痛和叩击痛(PPP)以及椎旁肌紧张度:reALOS、SF-36、视觉模拟评分(VAS)、脊柱VAS评分、贝克抑郁量表(BDI)、24项一般性健康问卷(GBB-24)和创伤后应激障碍自评量表(IES-R)。

结果

总体而言,胸腰椎的临床参数,如PPP、椎旁肌紧张度、FFD和Schober征,与另一侧的七种测试工具之间存在显著关联。

结论

PPP、FFD以及较小的Schober测量值是显著影响胸腰椎骨折手术治疗后生活质量的临床参数。