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通过融合和哈灵顿器械治疗胸腰椎骨折和脱位。

Treatment of fractures and dislocations of the thoracic and lumbar spine by fusion and Harrington instrumentation.

作者信息

Devilee R, Sanders R, de Lange S

机构信息

Department of Orthopaedics and Traumatology, Westeinde Hospital, The Hague, The Netherlands.

出版信息

Arch Orthop Trauma Surg. 1995;114(2):100-2. doi: 10.1007/BF00422835.

DOI:10.1007/BF00422835
PMID:7734229
Abstract

Thirty-three patients with fractures of the thoracolumbar spine were treated by fusion and Harrington instrumentation after early reduction and stabilisation by postural reduction or halo-bifemoral traction. The rod-long-fuse-short technique was used. Postoperatively, all patients were mobilised with an external support. The mean follow-up was 6 years (range 1-13 years). Twenty-eight patients were pain-free, three patients needed sporadic pain medication. One patient was not working due to pain in his leg. One patient had constant pain. Twenty-three patients returned to work. The mean kyphosis increased from 8 degrees postoperatively to 13 degrees at follow-up.

摘要

33例胸腰椎骨折患者在通过体位复位或头环-双股骨牵引进行早期复位和稳定后,采用融合术和哈灵顿器械固定治疗。采用棒长融合短技术。术后,所有患者均使用外部支撑进行活动。平均随访6年(范围1 - 13年)。28例患者无疼痛,3例患者需要偶尔使用止痛药物。1例患者因腿部疼痛无法工作。1例患者持续疼痛。23例患者恢复工作。平均后凸畸形从术后的8度增加到随访时的13度。

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本文引用的文献

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Review of Harrington rod treatment of spinal trauma.哈灵顿棒治疗脊柱创伤的综述。
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2
Mechanics of anatomic reduction of thoracolumbar burst fractures. Comparison of distraction versus distraction plus lordosis, in the anatomic reduction of the thoracolumbar burst fracture.胸腰椎爆裂骨折的解剖复位力学。在胸腰椎爆裂骨折的解剖复位中,牵引与牵引加前凸的比较。
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Clin Orthop Relat Res. 1984 Oct(189):22-35.
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Unstable thoracolumbar fractures. A comparative clinical study of conservative treatment and Harrington instrumentation.不稳定型胸腰椎骨折。保守治疗与哈灵顿器械固定的对比临床研究。
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