Zhonghua wai ke za zhi [Chinese journal of surgery]
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To evaluate the rate of open reduction and surgical strategy of severe cervical dislocation. ⋯ The succeed rate of anterior open reduction was 89.2%, and only 10.8% patients needs an additional combined posterior and anterior approach. For patients with completed spinal cord injury with dislocation above C(4), or with dislocation below C(5) but the edema on MRI T2 image are above C(4) level need tracheotomy. The operation be done until respiratory function stable. For patients with completed spinal cord injury with dislocation below C(4) and uncompleted spinal cord injury with dislocation above C(4), the rate of tracheotomy is relatively lower and early operation is recommended.
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Zhonghua Wai Ke Za Zhi · Mar 2007
[Clinical characteristics and results of cervical spinal cord injury in the patients with ossification of the posterior longitudinal ligament].
To investigate the clinical characteristics and results of cervical spinal cord injury (SCI) in the patients with ossification of the posterior longitudinal ligament (OPLL). ⋯ The patients with OPLL are prone to have severe SCI, which directly associates with the preexisting OPLL-type and hyper-intensity signal change in the spinal cord on MRI. Both of using methylprednisolone sodium succinate administration within 8 h after trauma and surgical decompression may improve the neurological outcomes.
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Zhonghua Wai Ke Za Zhi · Mar 2007
[Percutaneous microendoscopic anterior release, fixation and fusion for irreducible atlanto-axial dislocation].
To evaluate the safety and efficacy of one-stage percutaneous microendoscopic anterior release, trans-articular fixation and fusion to reduce and stabilize for irreducible atlanto-axial dislocation. ⋯ Percutaneous microendoscopic anterior release, fixation and fusion is an effective, reliable, and safe procedure for the treatment of irreducible atlanto-axial dislocation.
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Zhonghua Wai Ke Za Zhi · Mar 2007
[Impact of different brain protection techniques upon postoperative temporary neurological dysfunction in aortic surgery with the aid of deep hypothermic circulatory arrest].
To assess impact of different brain protection techniques upon postoperative temporary neurological dysfunction in aortic surgery with the aid of deep hypothermic circulatory arrest. ⋯ Applying selective antegrade cerebral perfusion as the brain protection technique and shortening the duration of deep hypothermic circulatory arrest can reduce the incidence of temporary neurological dysfunction and preserve cerebral function more effectively.