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多节段非连续性脊柱骨折的临床诊断与治疗进展

Advances in the clinical diagnosis and treatment of multiple-level noncontiguous spinal fractures.

作者信息

Luo Bangmin, Chen Huarong, Zou Mingxiang, Yan Yiguo, Ouyang Xueqian, Wang Cheng

机构信息

The First Affiliated Hospital, Department of Spine Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China.

出版信息

Front Neurol. 2024 Nov 21;15:1469425. doi: 10.3389/fneur.2024.1469425. eCollection 2024.

DOI:10.3389/fneur.2024.1469425
PMID:39639988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617556/
Abstract

Multiple-level noncontiguous spinal fractures (MNSF) are spinal fractures that involve at least 2 sites and are characterized by the presence of one intact vertebra or intact functional spinal unit between the fractured vertebrae. MNSF account for 2.5-19% of all spinal fractures. MNSF are easily missed or have a delayed diagnosis in clinical practice and their treatment is more complex than that for single-segment spine fractures. In this article, the authors briefly summarize the advances in the etiology and mechanisms of MNSF, the identification of their involved sites and their classification, diagnosis, treatment, and prognosis.

摘要

多节段非连续性脊柱骨折(MNSF)是指累及至少2个部位的脊柱骨折,其特征是在骨折椎体之间存在1个完整椎体或完整的功能脊柱单元。MNSF占所有脊柱骨折的2.5%-19%。在临床实践中,MNSF很容易被漏诊或诊断延迟,并且其治疗比单节段脊柱骨折更为复杂。在本文中,作者简要总结了MNSF在病因和机制、受累部位的识别及其分类、诊断、治疗和预后方面的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/e4d4590ea376/fneur-15-1469425-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/c49659174828/fneur-15-1469425-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/f8db416941a9/fneur-15-1469425-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/e4d4590ea376/fneur-15-1469425-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/c49659174828/fneur-15-1469425-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/f8db416941a9/fneur-15-1469425-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2be/11617556/e4d4590ea376/fneur-15-1469425-g003.jpg

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本文引用的文献

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Biomechanical analysis of the tandem spinal external fixation in a multiple-level noncontiguous lumbar fractures model: a finite element analysis.多节段非连续性腰椎骨折模型中串联脊柱外固定的生物力学分析:有限元分析
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2
A system of predictive scores to evaluate the risk of multilevel noncontiguous spinal fractures in patients with traumatic cervical spine injury.一种用于评估创伤性颈椎损伤患者多级非连续性脊柱骨折风险的预测评分系统。
Eur Spine J. 2024 Jun;33(6):2340-2346. doi: 10.1007/s00586-024-08277-8. Epub 2024 May 6.
3
Rigid spine injuries - A comprehensive review on diagnostic and therapeutic challenges.
僵硬性脊柱损伤——关于诊断与治疗挑战的全面综述
Brain Spine. 2024 Apr 15;4:102811. doi: 10.1016/j.bas.2024.102811. eCollection 2024.
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Complications of the Rigid Spine.僵直脊柱的并发症。
Semin Musculoskelet Radiol. 2023 Oct;27(5):491-498. doi: 10.1055/s-0043-1770136. Epub 2023 Oct 10.
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Comparison of acute single versus multiple osteoporotic vertebral compression fractures in radiographic characteristic and bone fragility.比较影像学特征和骨脆性在急性单发性与多发性骨质疏松性椎体压缩性骨折中的差异。
J Orthop Surg Res. 2023 May 27;18(1):387. doi: 10.1186/s13018-023-03874-7.
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Spinal injury in major trauma: Epidemiology of 1104 cases from an Italian first level trauma center.重大创伤中的脊柱损伤:来自意大利一级创伤中心的1104例病例的流行病学情况
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