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胸腰椎爆裂骨折:创伤后椎管狭窄与初始神经功能缺损之间的相关性

Thoracolumbar burst fractures: correlation between post-traumatic spinal canal stenosis and initial neurological deficit.

作者信息

Sapkas G, Efstathiou P, Makris A, Kyratzoulis J

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, University of Athens, KAT Hospital, Greece.

出版信息

Bull Hosp Jt Dis. 1996;55(1):36-9.

PMID:8771353
Abstract

Forty five patients (27 males and 18 females) aged 18 to 62 years, with thoracolumbar burst fracture treated between 1980 to 1994 were studied retrospectively. The purpose of the study was the identification of the existing correlation between the posttraumatic spinal canal stenosis and the initial neurological deficit. The presence of Dall and Stauffer type II fracture statistically constitutes an important factor, with negative involvement, in the diagnosis of the initial neurological status. In thoracolumbar spine, there is an inversely proportional relation with statistical importance between the level of injury and the post-traumatic spinal stenosis-as the burst fracture is sited higher, smaller canal encroachments by fragments will produce the same neurological deficit.

摘要

对1980年至1994年间接受治疗的45例年龄在18至62岁之间的胸腰椎爆裂骨折患者(27例男性和18例女性)进行了回顾性研究。本研究的目的是确定创伤后椎管狭窄与初始神经功能缺损之间的现有相关性。Dall和Stauffer II型骨折的存在在统计学上是诊断初始神经状态的一个重要因素,且为负相关。在胸腰椎,损伤水平与创伤后椎管狭窄之间存在具有统计学意义的反比关系——随着爆裂骨折位置越高,碎片对椎管的侵占越小,却会产生相同的神经功能缺损。

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