[1]梅 伟.胸腰椎骨折临床诊疗中的热点问题[J].中医正骨,2016,28(07):1-5.
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胸腰椎骨折临床诊疗中的热点问题()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年07期
页码:
1-5
栏目:
专家述评
出版日期:
2016-07-20

文章信息/Info

作者:
梅 伟
河南省郑州市骨科医院,河南 郑州 450052
关键词:
脊柱骨折 胸椎 腰椎 述评
摘要:
胸腰椎骨折是临床上常见的脊柱损伤,治疗的目的是重建脊柱的生物力学稳定性,为神经功能恢复提供必要的条件,提高患者的生存质量。然而,随着近年来对胸腰椎骨折的认识和理念的更新,学者们对不同的治疗理念和方法众说纷纭,莫衷一是。本文从骨折分型、治疗方式选择及骨质疏松性胸腰椎压缩性骨折的治疗几个方面对胸腰椎骨折临床诊疗中的热点问题进行了述评。

参考文献/References:

[1] Reinhold M,Audigé L,Schnake KJ,et al.AO spine injury classification system:a revision proposal for the thoracic and lumbar spine[J].Eur Spine J,2013,22(10):2184-2201. [2] Kepler CK,Vaccaro AR,Koerner JD,et al.Reliability analysis of the AOSpine thoracolumbar spine injury classification system by a worldwide group of naïve spinal surgeons[J].European Spine Journal,2016,25(4):1082-1086. [3] Vaccaro AR,Lehman RA Jr,Hurlbert RJ,et al.A new classification of thoracolumbar injuries:the importance of injury morphology,the integrity of the posterior ligamentous complex,and neurologic status[J].Spine(Phila Pa 1976),2005,30(20):2325-2333. [4] Thomas KC,Bailey CS,Dvorak MF,et al.Comparison of operative and nonoperative treatment for thoracolumbar burst fractures in patients without neurological deficit:a systematic review[J].J Neurosurg Spine,2006,4(5):351-358. [5] 张鑫,刘波,刘辉,等.运动疗法配合物理疗法治疗骨质疏松性椎体压缩性骨折[J].中医正骨,2014,26(9):43-45. [6] Wood KB,Li W,Lebl DR,et al.Management of thoracolumbar spine fractures[J].Spine J,2014,14(1):145-164. [7] De Boeck H,Opdecam P.Split coronal fractures of the lumbar spine.Treatment by posterior internal fixation and transpedicular bone grafting[J].Int Orthop,1999,23(2):87-90. [8] Tropiano P,Huang RC,Louis CA,et al.Functional and radiographic outcome of thoracolumbar and lumbar burst fractures managed by closed orthopaedic reduction and casting[J].Spine(Phila Pa 1976),2003,28(21):2459-2465. [9] 李长青,罗刚,周跃.新型微创经皮椎弓根螺钉内固定治疗胸腰椎骨折[J].中华创伤杂志,2009,25(6):522-525. [10] 周英杰,赵刚,赵蕾,等.新型经皮椎弓根螺钉内固定系统治疗不稳定性胸腰椎骨折[J].中医正骨,2014,26(7):55-57. [11] Kaneda K,Taneichi H,Abumi K,et al.Anterior decompression and stabilization with the Kaneda device for thoracolumbar burst fractures associated with neurological deficits[J].J Bone Joint Surg Am,1997,79(1):69-83. [12] Hitchon PW,Torner J,Eichholz KM,et al.Comparison of anterolateral and posterior approaches in the management of thoracolumbar burst fractures[J].J Neurosurg Spine,2006,5(2):117-125. [13] Shono Y,Mcafee PC,Cunningham BW.Experimental study of thoracolumbar burst fractures.A radiographic and biomechanical analysis of anterior and posterior instrumentation systems[J].Spine(Phila Pa 1976),1994,19(15):1711-1722. [14] 夏群,刘艳成,徐宝山,等.前后路联合手术治疗胸腰椎骨折适应证的量化选择[J].中华创伤杂志,2010,26(5):415-419. [15] Oprel P,Tuinebreijer WE,Patka P,et al.Combined anterior-posterior surgery versus posterior surgery for thoracolumbar burst fractures:a systematic review of the literature[J].Open Orthop J,2010,4(4):93-100. [16] McCormack T,Karaikovic E,Gaines RW.The load sharing classification of spine fractures[J].Spine(Phila Pa 1976),1994,19(15):1741-1744. [17] Mclain RF.The biomechanics of long versus short fixation for thoracolumbar spine fractures[J].Spine(Phila Pa 1976),2006,31(11 Suppl):S70-S79. [18] Chen CB,Lv GY,Xu BS,et al.Posterior short-segment instrumentation and limited segmental decompression supplemented with vertebroplasty with calcium sulphate and intermediate screws for thoracolumbar burst fractures[J].European Spine Journal,2014,23(7):1548-1557. [19] Alanay A,Acaroglu E,Yazici M,et al.Short-segment pedicle instrumentation of thoracolumbar burst fractures:does transpedicular intracorporeal grafting prevent early failure?[J].Spine(Phila Pa 1976),2001,26(2):213-217. [20] Verlaan JJ,Diekerhof CH,Buskens E,et al.Surgical treatment of traumatic fractures of the thoracic and lumbar spine:a systematic review of the literature on techniques,complications,and outcome[J].Spine(Phila Pa 1976),2004,29(7):803-814.

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备注/Memo

备注/Memo:
2016-02-28收稿 2016-03-22修回

更新日期/Last Update: 1900-01-01