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胸腰椎骨折脱位。采用哈灵顿器械进行急性手术稳定治疗。

Fracture-dislocation of the dorsal-lumbar spine. Acute operative stabilization by Harrington instrumentation.

作者信息

Convery F R, Minteer M A, Smith R W, Emerson S M

出版信息

Spine (Phila Pa 1976). 1978 Jun;3(2):160-6. doi: 10.1097/00007632-197806000-00012.

DOI:10.1097/00007632-197806000-00012
PMID:663767
Abstract

Twenty-four patients (of whom 17 were paraplegic) with acute fracture dislocations of the dorsal-lumbar spine underwent stabilization with Harrington instrumentation and were followed for an average of 16 months. Immediate postoperative ambulation was achieved in 16 patients. There was little difference between compression and distraction with respect to reduction and maintenance of correction. Compression rods resulted in solid union in 15 of 16 patients, while distraction rods were successful in 6 of 8 instances. In contrast to reported series in which operative intervention has been avoided, at least a 50% reduction in total hospitalization stay and costs has been achieved. Functional results were comparable to or exceeded the results of other series, and complication rates were similar with the exception of postoperative pain in 2 patients.

摘要

24例(其中17例为截瘫患者)胸腰段脊柱急性骨折脱位患者接受了哈灵顿器械固定治疗,并平均随访16个月。16例患者术后立即实现了行走。在复位和维持矫正方面,加压与撑开之间差异不大。16例患者中有15例使用加压棒实现了牢固融合,而8例中有6例使用撑开棒取得成功。与报道的避免手术干预的系列研究相比,总住院时间和费用至少降低了50%。功能结果与其他系列研究相当或更好,除2例患者术后疼痛外,并发症发生率相似。

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Spine (Phila Pa 1976). 1978 Jun;3(2):160-6. doi: 10.1097/00007632-197806000-00012.
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