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经皮骨水泥强化螺钉固定双侧骨质疏松性骶骨骨折

[Percutaneous cement-augmented screw fixation of bilateral osteoporotic sacral fracture].

作者信息

Müller F, Füchtmeier B

机构信息

Klinik für Unfallchirurgie, Orthopädie und Sportmedizin, Barmherzige Brüder Regensburg, Prüfeninger Straße 86, 93049, Regensburg, Deutschland,

出版信息

Unfallchirurg. 2013 Oct;116(10):950-4. doi: 10.1007/s00113-013-2387-0.

DOI:10.1007/s00113-013-2387-0
PMID:23756785
Abstract

We describe the case of a 71-year-old woman who presented with persisting painful symptoms of the back and pelvis which had begun 4 weeks previously. A preceding trauma was plausibly excluded. Diagnostics showed a slightly dislocated bilateral sacral fracture with underlying osteoporosis also known as an insufficiency fracture. We performed a percutaneous and cement-augmented bilateral iliosacral joint revision using screws and 6 months after surgery, imaging showed a stable fracture with appropriate screw positions.

摘要

我们描述了一位71岁女性的病例,她出现了持续的背部和骨盆疼痛症状,这些症状始于4周前。可以合理排除先前的创伤。诊断显示双侧骶骨骨折略有移位,伴有潜在的骨质疏松症,也称为不全骨折。我们使用螺钉进行了经皮和骨水泥增强的双侧髂骶关节翻修术,术后6个月,影像学显示骨折稳定,螺钉位置合适。

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本文引用的文献

1
Transiliac-transsacral screws for posterior pelvic stabilization.经髂骨-经骶骨螺钉用于骨盆后环稳定。
J Orthop Trauma. 2011 Jun;25(6):378-84. doi: 10.1097/BOT.0b013e3181e47fad.
2
Prevalence of sacral dysmorphia in a prospective trauma population: Implications for a "safe" surgical corridor for sacro-iliac screw placement.前瞻性创伤人群中骶骨畸形的患病率:对骶髂螺钉置入“安全”手术通道的影响
Patient Saf Surg. 2011 May 10;5(1):8. doi: 10.1186/1754-9493-5-8.
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Clinical outcomes of sacroplasty in sacral insufficiency fractures: a review of the literature.
一种用于骨盆前环骨折的导航辅助逆行耻骨螺钉固定的螺钉视角模型:一例随访28个月的病例报告及技术说明
Medicine (Baltimore). 2018 Dec;97(51):e13646. doi: 10.1097/MD.0000000000013646.
4
Accuracy and safety of percutaneous periacetabular screw insertion using screw view model of navigation in acetabular fracture: A case report.使用髋臼骨折导航螺钉视图模型经皮髋臼周围螺钉置入的准确性和安全性:一例报告。
Medicine (Baltimore). 2018 Dec;97(49):e13316. doi: 10.1097/MD.0000000000013316.
5
Three-dimensional navigation-guided percutaneous screw fixation for nondisplaced and displaced pelvi-acetabular fractures in a major trauma centre.大型创伤中心三维导航引导下经皮螺钉固定治疗无移位和移位的骨盆髋臼骨折
Int Orthop. 2018 Jun;42(6):1387-1395. doi: 10.1007/s00264-017-3659-z. Epub 2017 Oct 23.
6
Timing of PMMA cement application for pedicle screw augmentation affects screw anchorage.聚甲基丙烯酸甲酯(PMMA)骨水泥用于椎弓根螺钉强化的时机影响螺钉锚固。
Eur Spine J. 2017 Nov;26(11):2883-2890. doi: 10.1007/s00586-017-5053-3. Epub 2017 Apr 3.
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In-screw cement augmentation for iliosacral screw fixation in posterior ring pathologies with insufficient bone stock.在骨量不足的后环病变中,用于骶髂螺钉固定的椎体内螺钉骨水泥强化。
Eur J Trauma Emerg Surg. 2018 Apr;44(2):203-210. doi: 10.1007/s00068-016-0681-6. Epub 2016 May 11.
8
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Eur Spine J. 2009 Sep;18(9):1266-71. doi: 10.1007/s00586-009-1048-z. Epub 2009 Jun 6.
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Spine (Phila Pa 1976). 2008 Sep 15;33(20):E735-8. doi: 10.1097/BRS.0b013e31817ecc22.
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Computer assisted percutaneous placement of augmented iliosacral screws: a reasonable alternative to sacroplasty.计算机辅助经皮置入增强型髂骶螺钉:一种合理的骶骨成形术替代方案。
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