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什么时候是粘土手的骨折而不是粘土手的骨折? :一个案例报告
Matthew J Schultz1, Michael R Wheeler2, Loren O Black2
1Jefferson Health New Jersey, Stratford, New Jersey.
JBJS case connector
|October 3, 2024
概括
之前的前椎间盘切除和融合可能会增加C7脊椎过程骨折的风险. 密切跟踪对于管理这些骨折和相关的脊柱不稳定性至关重要.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 创伤外科手术是什么
- 整形外科 整形外科 整形外科
背景情况:
- 前椎切除和融合 (ACDF) 是一种常见的脊柱手术.
- 椎骨折可能是严重创伤的结果.
- 上一篇 ACDF可能会改变生物力学并影响骨折模式.
研究的目的:
- 报告C7脊椎过程骨折的病例,该病例发生在患有先前ACDF的患者中.
- 讨论以前的ACDF对随后的椎脊椎损伤的潜在生物力学影响.
- 为了强调警跟进怀疑的Clay-Shoveler骨折的重要性.
主要方法:
- 一个71岁的男性病例报告,有C5-7 ACDF病史.
- 首次非手术治疗C7脊椎过程骨折.
- 随后的C7-T1透和形与神经缺陷的后续发展.
- 外科干预包括状过程电线和C5-T3.3的后部融合.
主要成果:
- 患者在最初的非手术治疗后出现脊柱不稳定和神经症状.
- 手术治疗导致了疼痛的消失和运动功能的恢复.
- 14个月后的随访显示出积极的临床结果.
结论:
- 之前的ACDF可能会使椎椎,特别是C7-T1,由于改变生物力学而导致低能量的创伤的不稳定性.
- Clay-Shoveler 的骨折,尤其是在先前经过脊髓手术的患者中,需要密切监测延迟的不稳定性.
- 及时的手术干预可以有效地管理不稳定性并恢复功能.
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