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thoracolumbar
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  thoracolumbar
Camptocormia is defined as an abnormal, severe and involuntary forward flexion of the thoracolumbar spine, which becomes manifest during standing and walking and subsides in the recumbent position.
      
Spinal subarachnoid hemorrhage due to ruptured solitary aneurysm at thoracolumbar level with fatal outcome
      
Alternating monomeric paresis with decreased skin temperature and hyperhidrosis in a case of thoracolumbar myelopathy
      
Magnetic resonance imaging of the thoracolumbar cord showed abnormal signal intensity with syrinx formation mainly at T12 to L1 vertebral level.
      
Interbody Fusion in Thoracolumbar Fractures (T11-L2) Using the Percutaneous Dorsolateral Technique
      
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Since 1978, 10 cases of intercostal-cauda equina anastomosis and another 10 cases of intercostal-lumbar nerve root anastomosis have been performed for thoracolumbar spinal cord transection. 3-4 pairs of intercostal nerves above the transection level were anastomosed with 2-4 pairs of cauda equina or lumbar nerve roots below the transection level by microsurgical technique. The surgical procedures adopted for the latter 10 cases were carried through the author's extraperitoneal approach. Electromyography...

Since 1978, 10 cases of intercostal-cauda equina anastomosis and another 10 cases of intercostal-lumbar nerve root anastomosis have been performed for thoracolumbar spinal cord transection. 3-4 pairs of intercostal nerves above the transection level were anastomosed with 2-4 pairs of cauda equina or lumbar nerve roots below the transection level by microsurgical technique. The surgical procedures adopted for the latter 10 cases were carried through the author's extraperitoneal approach. Electromyography showed that the action potentials were present in several paralyzed muscles in 7 out of the 10 patients followed up for more than 2 years. The muscle strength of some paralyzed muscles of one patient had recovered to 1-3 degree. There is evidence to show that the intercostal lumbar spinal nerve anastomosis does provide a chance for some nerve regeneration, but the unsatisfactory functional restoration calls for further study.

本文报道应用显微外科技术,治疗20例胸腰段脊髓损伤患者,除施行肋间神经-马尾神经吻合术外,还介绍了经腹膜外行肋间神经-腰神经根吻合的手术方法。在随访2年以上的10例中,7例肌电图检查有多块肌肉出现运动电位,其中有1例部分肌肉的肌力已恢复到1~3级。

From June 1982 to May 1984, 44 patients with traumatic paraplegia were treated by transplanting the greater omentum to the injured spinal cord 24 hours to 103 months (48% of them 6-36 months) after injury Most spinal injuries were located at the thoracolumbar segments (86.4%) and 56.8% of these patients had received laminectomy for decompression before admission. After having received omental tramsplantation all patients were followed up, for 13 days to 18 months (mean 4 months and 20 days), the sensory...

From June 1982 to May 1984, 44 patients with traumatic paraplegia were treated by transplanting the greater omentum to the injured spinal cord 24 hours to 103 months (48% of them 6-36 months) after injury Most spinal injuries were located at the thoracolumbar segments (86.4%) and 56.8% of these patients had received laminectomy for decompression before admission. After having received omental tramsplantation all patients were followed up, for 13 days to 18 months (mean 4 months and 20 days), the sensory level descended in 31.8%, muscular power increased in various degrecs in 52.2% and sphincter function improved in 79.55% of the patients.It is presumed that the greater omentum graft may provide blood supply and vaso-active substance to the injured part and regulate the local condition as regards to electrolytes, pH and biochemical materials, so as to activate the injured part and enhance the functional recovery of the spinal cord. Satisfactory effects can be expected in acute mild contusion of the spinal cord, while late cases with atrophy can also be benefited to some extent by this procedure.

自1982年6月至1984年5月对44例外伤性截瘫患者采用大网膜脊髓移植术。胸腰段占86.4%,病程23小时至103个月(6个月~36个月48%),术前做过椎板减压56.8%。术后随访13天~18个月(平均4个月20天)。疗效:感觉平面下降者31.8%,肌力不同程度恢复52.2%,括约肌功能改善79.55%。疗效机理:主要是大网膜为损伤脊髓提供了血供、血管活性物质和对电解质,PH、生物化学物质的调整等“激活受伤脊髓”的作用,促进了脊髓功能的恢复。因此认为对急性脊髓轻度挫伤的病例疗效较好,晚期脊髓萎缩病例也有一定效果。

Eighteen cases of instable thoracolumbar spinal fracture complicated by paraplegia were treated with Harrington distraction rod. Follow-up for 3 to 20 months revealed that the neurological function in the 7 patients with incomplete paraplegia became almost normal,but among the 11 patients with complete paraplegia only 2 improved in sensation and motion. It is confirmed that Harrington distraction rod can serve both traction and stabilization, facilitate anatomical reduction of the fracture,decompress the...

Eighteen cases of instable thoracolumbar spinal fracture complicated by paraplegia were treated with Harrington distraction rod. Follow-up for 3 to 20 months revealed that the neurological function in the 7 patients with incomplete paraplegia became almost normal,but among the 11 patients with complete paraplegia only 2 improved in sensation and motion. It is confirmed that Harrington distraction rod can serve both traction and stabilization, facilitate anatomical reduction of the fracture,decompress the involved spinal cord and maintain the spinal stability for long. The authors also described the method for fixing the vertebrae on to the opposite distraction rods with wires and discussed the indications for spinal fusion and laminectomy at operation.

报告了18例Harrington撑开棒治疗脊柱胸腰段不稳定性骨折伴截瘫的临床效果。随访3~20月,7例不完全性截瘫基本恢复正常;11例完全性截瘫2例部分恢复。认为撑开棒具有牵引和固定的双重作用,能使骨折解剖复位,解除神经压迫,并长期维持脊柱的稳定性,是一种操作简便、疗效确切的治疗方法。同时介绍了钢丝固定损伤椎骨棘突和两侧撑开棒的方法。

 
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