Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Apr 2007
[Anatomic and clinical study of spinal osteotomies for traumatic fixed kyphotic deformity of thoracolumbar spine].
To investigate the safety and efficiency of spinal osteotomies for traumatic fixed kyphotic deformity of thoracolumbar spine with spinal cord injury. ⋯ The traumatic fixed kyphotic deformity of thoracolumbar spine with spinal cord injury could be treated with conventional or modified decancellation posterior closing-wedge osteotomy, neurological function and low back pain were expectably recovered.
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Zhonghua Wai Ke Za Zhi · Apr 2007
[Clinical study on transpedicular spinal osteotomy and vertebrectomy in 125 cases of severe rigid spinal deformity].
A retrospective clinical study of 125 patients with severe rigid spinal deformity who underwent transpedicular spinal osteotomy or vertebrectomy by posterior approach only and correction by posterior segmental instrumentation to analyze the risks of posterior alone osteotomy or vertebrectomy including surgical manipulation, operative time, blood lose, complications, so that to evaluate the safety of this procedure. ⋯ In correction of severe rigid spinal deformity, transpedicle spinal osteotomy or vertebrectomy by posterior approach only is safe and the procedure is simple. Complications could be avoided by careful operation.
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Zhonghua Wai Ke Za Zhi · Apr 2007
[Analysis of the correction results of the adolescent idiopathic scoliosis patients with a proximal thoracic curve].
To analyze the correction results of the adolescent idiopathic scoliosis patients with a proximal thoracic (PT) curve. ⋯ Fusing the PT in patients with a left shoulder not lower than right side will make better coronal correction results of the PT curve and reduce the incidence of postoperative shoulder imbalance.
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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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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.