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妊娠女性俯卧位手术治疗胸腰椎骨折

Management of fracture dorso-lumbar spine in a pregnant female by surgery in prone position.

作者信息

Sonawane Dhiraj Vithal, Nemade Pradip S, Chandanwale Ajay, Pawar Eknath, Jagtap Sanjay A

机构信息

Department of Orthopaedics, Grant Medical College and Gokuldas Tejpal Hospital, C-24 Singh Estate, Dadasaheb Phalke Road, Opp. Ranjeet Studio, Dadar(E), Mumbai, 14, India.

Department of Orthopaedics, Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Government Hospitals, 2nd Floor Main Building, Byculla, Mumbai, 08, India.

出版信息

Eur Spine J. 2018 Jul;27(Suppl 3):270-275. doi: 10.1007/s00586-017-5127-2. Epub 2017 May 16.

Abstract

Surgical management of thoraco-lumbar spine fracture in pregnancy has specific concerns during surgery like positioning, approach, and radiation exposure to fetus. We report a case of burst fracture of 12th thoracic vertebrae with paraplegia in a young female with 26 weeks of gestation. Surgery was performed in prone position on a Toronto frame. This report also discusses the management of thoraco-lumbar spine fracture in pregnancy with review of literature.

摘要

妊娠期胸腰椎骨折的手术治疗在手术过程中有一些特殊问题,如体位、手术入路以及胎儿的辐射暴露。我们报告一例妊娠26周的年轻女性第12胸椎爆裂骨折伴截瘫的病例。手术在多伦多架上采用俯卧位进行。本报告还结合文献复习讨论了妊娠期胸腰椎骨折的治疗。

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