Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Feb 2011
[Therapeutic effects and complications of percutaneous pedicle screw fixation for thoracolumbar fractures].
To investigate the therapeutic effects and complications of percutaneous pedicle screw fixation for thoracolumbar fractures. ⋯ The clinical efficacy of percutaneous pedicle screw fixation is similar with conventional open surgery. With the advantages of convenient procedure, less invasive, and rapid recovery, percutaneous pedicle screw fixation is an alternative method for thoracolumbar fractures without neurological deficits.
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Zhonghua Wai Ke Za Zhi · Feb 2011
[Transpedicular intracorporeal hydroxyapatite grafting and pedicle screw fixation via paraspinal approach for thoracolumbar fractures].
To investigate the feasibility and safety of the treatment for thoracolumbar fractures with transpedicular intracorporeal hydroxyapatite grafting and pedicle screw fixation via paraspinal approach. ⋯ Transpedicular intracorporeal hydroxyapatite grafting and pedicle screw fixation via paraspinal approach could provide reliable neurologic improvement in patients with incomplete neurologic deficit, and could prevent the development of kyphosis.Furthermore, it has the obvious advantages of less invasive and blood loss, and decreases the risks of postoperative lumbodorsal pain.
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Zhonghua Wai Ke Za Zhi · Feb 2011
[The impact of thoracic and thoracolumbar angular kyphosis on pelvic shape and sagittal alignment].
To analyze the impact of thoracic and thoracolumbar angular kyphosis on pelvic shape and sagittal alignment. ⋯ The kyphosis occurred at childhood may influence pelvic shape and alignment significantly. The lower kyphotic apex located and the bigger kyphosis, the greater impact on the pelvic morphology. The surgery can improve the kyphosis, but can not change the sagittal pelvic morphology. Early treatment of thoracolumbar angular kyphosis is beneficial not only to reconstruction of spine alignment but also to the formation of sagittal pelvic morphology.
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Zhonghua Wai Ke Za Zhi · Feb 2011
Meta Analysis[Timing of tracheotomy on the prognosis of patients with prolonged mechanical ventilation: a meta-analysis of randomized controlled trials].
To evaluate the effect of timing of tracheotomy on the prognosis of prolonged mechanically ventilated patients. ⋯ In critically ill adult patients who require prolonged mechanical ventilation, early tracheotomy performed at an earlier stage reduces the mortality, but doesn't reduce the incidence of pneumonia and shorten the mechanical ventilation days and ICU length of stay. But more high quality RCTs are required to confirm it.
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Zhonghua Wai Ke Za Zhi · Feb 2011
Comparative Study[Comparison of two minimally invasive internal fixed methods for the treatment of distal tibio-fibula fractures].
To compare the outcome of two minimally invasive internal fixed methods for the treatment of distal tibio-fibula fractures. ⋯ Minimally invasive percutaneous locking compression plate fixing tibia combining elastic stable intramedullary nailing fixing fibular shows superiority in treatment of distal tibio-fibula fractures. However, interlocking intramedullary nail fixing tibia combining elastic stable intramedullary nailing fixing fibular has the advantages in worse soft tissue and multi-step tibio-fibula fractures.