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转移性脊柱骨折的前路减压与稳定术

Anterior decompression and stabilisation of metastatic spinal fractures.

作者信息

Fidler M W

出版信息

J Bone Joint Surg Br. 1986 Jan;68(1):83-90. doi: 10.1302/0301-620X.68B1.3941146.

DOI:10.1302/0301-620X.68B1.3941146
PMID:3941146
Abstract

Seventeen patients with pathological fractures of the thoracolumbar spine which had not responded to conservative treatment are reported. All had compression of the spinal cord and/or severe pain. All (except one treated by lateral rhachotomy) were treated by anterior decompression followed by stabilisation; when the lesion was below T2 the spine was stabilised anteriorly, and when it was higher posterior instrumentation was used. Sixteen of the 17 patients benefited from the procedure.

摘要

报告了17例胸腰椎病理性骨折患者,这些患者对保守治疗无效。所有患者均有脊髓受压和/或严重疼痛。所有患者(除1例接受侧方脊髓切断术治疗外)均先行前路减压,然后进行固定;当病变位于T2以下时,脊柱前路固定,病变较高时则采用后路器械固定。17例患者中有16例从该手术中获益。

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