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严重胸腰椎骨折的复位与固定结果

Results of reduction and stabilization of the severely fractured thoracic and lumbar spine.

作者信息

Dickson J H, Harrington P R, Erwin W D

出版信息

J Bone Joint Surg Am. 1978 Sep;60(6):799-805.

PMID:701314
Abstract

From 1962 to 1976, ninety-five patients with fracture-dislocations of the spine were treated with Harrington instrumentation and fusion within ninety days of injury. This report presents the results of this procedure related to reduction, stabilization, return of neural function, and total hospital stay. Mean follow-up was twenty-one months. Reduction and stabilization were attained without a substantial number of complications, but no more return of neural function in the patients was evident than has been reported in the literature for patients treated with postural reduction and bed rest. Total hospital stay averaged 107 days from day of injury.

摘要

1962年至1976年期间,95例脊柱骨折脱位患者在受伤后90天内接受了哈灵顿器械固定及融合术治疗。本报告展示了该手术在复位、稳定、神经功能恢复及总住院时间方面的结果。平均随访时间为21个月。实现了复位和稳定,且并发症数量不多,但与文献中报道的采用体位复位和卧床休息治疗的患者相比,这些患者的神经功能恢复情况并无更明显改善。从受伤之日起,总住院时间平均为107天。

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