Walker N, Zimmermann K
Z Orthop Ihre Grenzgeb. 1979 Dec;117(6):1012-6.
We report on a modified dorso-ventral operation method for the treatment of unstable vertebral lesions in parapletic patients. We see the indication for ca. 10% of the paraplegics with unstable vertebral fractures and incomplete neurological pareses with a real of expected worsening of the neurological status. A real stabilisation can only be reached by combined dorsal and ventral fusioning, which only rectify the operative risks. The geometrical arguments for this method are presented.
我们报告了一种改良的背腹联合手术方法,用于治疗截瘫患者的不稳定椎体病变。我们发现约10%的截瘫患者伴有不稳定椎体骨折和不完全性神经麻痹,且神经状况有实际预期恶化,这类患者适合采用该方法。只有通过背侧和腹侧联合融合才能实现真正的稳定,这只会纠正手术风险。文中阐述了该方法的几何学依据。