不连续的上下椎骨折的管理
Zhi-da Chen1, Cheng-Quan Tu1, Yuan-Jie Jiang1
1Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, 363000, China.
International orthopaedics
|September 6, 2024
概括
上部部骨折与非连续的下部部骨折的手术治疗产生了有利的结果. 这项研究分析了59例病例,显示了疼痛和功能显著改善,具有良好的长期稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 上部部骨折与非连续的下部部骨折相结合,会带来复杂的临床挑战.
- 这些伤害并不罕见,需要谨慎的管理策略.
研究的目的:
- 概述上宫骨折与非连续的下宫骨折相结合的上宫骨折的管理原则.
- 评估这些复杂损伤的临床特征和手术治疗的结果.
主要方法:
- 追溯分析59名患有上骨折和非连续的下骨折的患者进行了手术治疗.
- 使用AO脊柱分类系统分类的骨折.
- 收集的数据包括手术细节,并发症,疼痛评分 (VAS),功能评分 (JOA),神经状况 (ASIA等级) 和放射性参数 (宫主症,稳定性).
主要成果:
- 骨折主要涉及亚特拉斯轴和C6-C7水平.
- 相关的伤害,主要是头部和胸部创伤,在72.88%的病例中存在.
- 手术方法包括前部,后部或前后组合手术.
- 在术后观察到VAS和JOA得分的显著改善 (P <0.05).
- 亚洲的分数提高了0-2级,宫主症稳定,没有内部固定失败.
- 17名患者出现并发症,没有脊椎动脉受伤或螺丝松动.
结论:
- 上部部骨折的手术治疗与非连续的下部部骨折相结合,导致中长期的临床和放射性结果有利.
- 这些伤害可能会导致严重的脊髓损伤和相关创伤.
- 需要进一步的研究来完善外科手术方法的决策,以实现最佳的患者管理.
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