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胸腰椎损伤的前路稳定术

Anterior stabilization of thoracolumbar injuries.

作者信息

Dunn H K

出版信息

Clin Orthop Relat Res. 1984 Oct(189):116-24.

PMID:6478689
Abstract

A new implant system has been designed to rigidly fix the spine anteriorly at a single level above and below the injury site for treatment of severe thoracolumbar fractures. The primary system consists of two rods rigidly linked by vertebral body bridges. These bridges are secured to each vertebra at two points: one posterolaterally on the body with a vertebral body screw and the other more anterolaterally with a vertebral body staple. This implant system has been used in 48 consecutive thoracolumbar injuries. There have been three late failures to attain spine fusion, but in no patient has there been loss of vertebral column alignment or spinal canal decompression. There have been no major catastrophes with the system. There have been one deep- and two superficial-wound infections, all of which have been successfully treated and resolved.

摘要

一种新的植入系统已被设计用于在损伤部位上下各一个节段对脊柱进行前路刚性固定,以治疗严重的胸腰椎骨折。该主要系统由通过椎体桥刚性连接的两根杆组成。这些桥在两个点固定到每个椎体:一个在椎体后外侧用椎体螺钉固定,另一个在椎体前外侧用椎体钉固定。该植入系统已连续用于48例胸腰椎损伤。有3例出现晚期脊柱融合失败,但没有患者出现脊柱排列丢失或椎管减压丧失。该系统没有发生重大灾难性事件。有1例深部伤口感染和2例表浅伤口感染,所有这些感染均已成功治疗并痊愈。

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