| AO分型、脊柱载荷及不稳定程度评分的应用研究 |
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投稿时间：2004-12-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 翟晓军 |
ZHAI Xiao-jun |
浙江大学医学院附属第二医院骨科 浙江杭州310009 |
Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China |
Henan zhaixiaojun@126.com |
| 陈其昕 |
CHEN Qi-xin |
浙江大学医学院附属第二医院骨科 浙江杭州310009 |
Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China |
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| 陈维善 |
CHEN Wei-shan |
浙江大学医学院附属第二医院骨科 浙江杭州310009 |
Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China |
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| 兰俊 |
LAN Jun |
浙江大学医学院附属第二医院骨科 浙江杭州310009 |
Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China |
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| 期刊信息：《中国骨伤》2005年，第18卷，第5期，第263-265页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨AO骨折分型、Load sharing及IG评分法则,在胸腰段椎体骨折手术入路及内固定植入物选择中的临床价值。
方法:不稳定性胸腰段骨折患者95例,术前按照AO骨折分型、Load sharing及IG评分法则进行综合评估,选择合适的手术入路及内固定植入物,随访79例,观察临床疗效,评估三者相结合的临床应用价值。
结果:①术前不完全神经损伤患者17例,其中16例Frankel分级恢复1级或1级以上;腰痛按Denis评分:P156例,P217例,P36例。②后路、前路及前后路联合固定术后各自的椎体前缘高度、矢状面指数平均复位分别为6.59mm、15.68°,12.90mm、20.75°,15.07mm、23.80°。③本组无断钉、内固定松动滑脱等严重并发症。
结论：AO分型结合Load sharing及IG评分法则,对胸腰段骨折手术入路及内植物选择具有指导意义。 |
| 【关键词】AO分型 脊柱载荷评分 不稳定程度评分 胸腰椎骨折 |
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| Application of AO classification,Load-sharing and IG grade rules in treatment of unstable thoracolumbar vertebral fractures |
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ABSTRACT
Objective:To investigate the clinical value about the combination of AO classification,Load-sharing and IG grade rules in selecting the proper surgical approach to thoracolumbar vertebral fractures.
Methods:Ninety-five patients with unstable thoracolumbar vertebral fractures were accepted,the surgical approach and internal fixation of these patients were selected by the combination of AO classification,Load-sharing and IG grade rules.Seventy-nine patients of them were followed up,the clinical value about the combination of AO classification,Load-sharing and IG rules was evaluated by observing the clinical effects.
Results:①Sixteen in seventeen patients who were incomplete nerve injury were recovered at least 1 Frankel grade.Back pain was evaluated according to Denis's Pain Scale,the results showed P1 56 patients,P2 17,P3 6.②The postoperative anterior border height with posterior,anterior and anterior-posterior combined approach were （6.59） mm,12.90 mm and 15.07 mm respectively.The postoperative sagittal index with posterior,anterior and anterior-posterior combined approach were 15.68°,20.75° and 23.80° respectively.③No nailing failure was observed in the fixation.
Conclusion:The combination of AO classification,Load-sharing and IG grade rules is a perfect assessment in guiding proper surgical approach and the choice of instrumentation in thoracolumbar vertebral fractures. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 翟晓军,陈其昕,陈维善,兰俊.AO分型、脊柱载荷及不稳定程度评分的应用研究[J].中国骨伤,2005,18(5):263~265 |
| 英文格式: | ZHAI Xiao-jun,CHEN Qi-xin,CHEN Wei-shan,LAN Jun.Application of AO classification,Load-sharing and IG grade rules in treatment of unstable thoracolumbar vertebral fractures[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(5):263~265 |
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