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创伤性双侧 lumbosacral 面部脱而没有骨折:说明案例
Journal of neurosurgery. Case lessons
|July 17, 2023
概括
没有骨折的创伤性双边腰部神经面部位移是罕见的. 最少侵入性的手术方法为管理这种情况提供了一个可行的选择,促进了有利的恢复.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 没有骨折的创伤性双侧 lumbosacral 面部脱位异常罕见,自1974年以来仅记录了七起病例.
- 对于这种情况的最佳手术管理,没有确立的共识.
研究的目的:
- 报告创伤性双边腰部神经面部脱而没有骨折的病例.
- 描述一种微创手术方法来治疗这种罕见的伤害.
主要方法:
- 一名35岁的女性患有双侧腰椎位 (L5-S1) 没有骨折,在高速机动车辆碰撞中持续治疗.
- 患者在初步医疗稳定相关伤害后,经历了腰部神经脊柱的微创缩和稳定.
主要成果:
- 在整个治疗和随访期间,患者在神经学上保持完整.
- 术后保持了优良的腰部和部的对齐,在2年的随访期间没有观察到缺陷.
结论:
- 对于双边腰部神经面部脱位而没有骨折的选择患者,应考虑最少的侵入性策略.
- 与传统的开放方法相比,这种方法可以促进更顺的术后康复过程.
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