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cervical spinal instability
相关语句
  颈椎失稳
     Degenerative Cervical Spinal Instability And Neck-arm Pain
     退变性颈椎失稳与颈肩臂痛
短句来源
     Histochemical study and clinical significance of the cervical posterior deep muscles with degeneration cervical spinal instability
     退变性颈椎失稳颈后深部肌肉的组织化学特征及其临床意义
短句来源
     Objective:To observe the distribution of fiber types and its sectional areas of the cervical posterior deep muscles and to detect its physiological function and pathological effect on the degenerative cervical spinal instability.
     目的:研究颈后深部肌肉的肌纤维型分布和横切面积,探讨其生理功能和在退变性颈椎失稳发病中的作用。
短句来源
     Medthods:The proportion and structure of various type fibers of the cervical posterior deep muscles were observed by histochemical stains for myosin ATPase in 4 normal adults and 4 patients with degenerative cervical spinal instability. The sectional area of fibers was measured also.
     方法:应用肌球蛋白ATP酶染色法,观察正常人(4例)和退变性颈椎失稳患者(4例)颈后深部肌肉各型肌纤维的比例和结构特征,并测量肌纤维的横切面积。
短句来源
     Conclusions:The cervical posterior deep muscles play an important role in maintaining the physiological posture and movement function of the cervical spine. The pathological changes of the fibers might be one of the important causes of degenerative cervical spinal instability.
     结论:颈后深部肌肉对维持颈段脊柱的生理姿势和运动起重要作用,肌纤维病理学改变是退变性颈椎失稳发病的重要因素之一。
短句来源
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  相似匹配句对
     Diagnosing Study on Cervical Segmental Spinal Instability
     颈椎节段性不稳的分型诊断及标准初探
短句来源
     Instability of the cervical vertebrae
     颈椎不稳的研究现状
短句来源
     Degenerative Cervical Spinal Instability And Neck-arm Pain
     退变性颈椎失稳与颈肩臂痛
短句来源
     ③Instability of the cervical spine.
     3)颈椎不稳 ;
短句来源
     MRI of Cervical Spinal Trauma
     颈椎损伤的MRI表现
短句来源
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  cervical spinal instability
While there are several descriptions of warfarin embryopathy, the long-term complication of cervical spinal instability has not been reported.
      


The efficacy of the halo vest in treatment of many types of cervical spinal instabilities was evaluated.107 patients with cervical spinal instabilites due to tuberculosis,trauma,pathological fractures and deformity were included for this study.The patients were divided into two groups.Group 1 underwent nonoperative treatment and group 2 underwent fusion, including atlanto axial,occipito cervical and lower cervical regions.All of the patients were immobilized by use of the halo vest without...

The efficacy of the halo vest in treatment of many types of cervical spinal instabilities was evaluated.107 patients with cervical spinal instabilites due to tuberculosis,trauma,pathological fractures and deformity were included for this study.The patients were divided into two groups.Group 1 underwent nonoperative treatment and group 2 underwent fusion, including atlanto axial,occipito cervical and lower cervical regions.All of the patients were immobilized by use of the halo vest without any internal fixation.Pulmonary function of 23 patients were measured before and after immobilization.89 of 107 patients were followed up for an average period of 25 months.All the patients who underwent nonoperative treatment regained stability.29 of 31 patients who underwent atlanto axial fusion achieved solid bony union and 32 of 36 patients who underwent occipito cervical fusion achieved solid bony union.The average period for hale vest immobilization was 133 days and the longest was 450 days.Statistics showed that the mean of vital capacity (VC) taken from the patients immobilized with the halo vest was significantly less than those without any orthosis.Complications included pin loosening in 24,pin infection in 4,loss of the reduction in 4,penetration of inner plate of calvaria in 3 and pressure sores in 1 case.The authors believe that the halo vest is a safe and an effective orthosis for patients with cervical spinal instability.By means of the halo vest,a part of cervical spinal arthrodesis can be performed without any internal fixation.The halo vest has an adverse influence on the respiratory function,VC of the patients with the halo vest decreased about 13%.

作者观察了用头环背心治疗多种原因所致颈椎不稳定的应用效果。用头环背心治疗了107例颈椎不稳定的病人,病种包括结核、损伤、肿瘤和畸形。病人分为非手术治疗组和融合术组。融合术包括寰枢椎后路融合术、枕颈融合术和下颈椎融合术。各种融合术都在头环背心的固定下施行,不用任何内固定。测量了23例病人用头环背心固定前后的肺功能。107例病人中有89例获得了随访,平均随访时间25个月,非手术组的病人在头环背心固定下均恢复了颈椎的稳定性。在31例行寰枢椎后路融合术的病人中有29例融合成功(94%),36例行枕颈融合术的病人中有32例达到了骨性愈合(89%)。用头环背心固定的平均时间是133天,最长的450天。统计学结果显示:用头环背心固定后病人肺活量的均数与固定前相比差异有非常显著性(P<0.01),固定后肺活量减少约13%。并发症包括颅钉松动(24例)、钉孔感染(4例)、复位丢失(4例)、颅钉穿透颅骨内板(3例)、背心下皮肤压疮(1例)。作者认为头环背心对颈椎失稳的病人是一种安全、有效的外固定器材。借助这种装置,部分需行颈椎融合术的病人可以免去内固定,使手术更安全、简便。头环背心可使病人的肺活量减少。

Objective:To observe the distribution of fiber types and its sectional areas of the cervical posterior deep muscles and to detect its physiological function and pathological effect on the degenerative cervical spinal instability. Medthods:The proportion and structure of various type fibers of the cervical posterior deep muscles were observed by histochemical stains for myosin ATPase in 4 normal adults and 4 patients with degenerative cervical spinal instability.The sectional area of fibers...

Objective:To observe the distribution of fiber types and its sectional areas of the cervical posterior deep muscles and to detect its physiological function and pathological effect on the degenerative cervical spinal instability. Medthods:The proportion and structure of various type fibers of the cervical posterior deep muscles were observed by histochemical stains for myosin ATPase in 4 normal adults and 4 patients with degenerative cervical spinal instability.The sectional area of fibers was measured also.Results:The type Ⅰ and type Ⅱ fibers arranged interweavely and showed multiside or ellipes.The number and section area of type Ⅰ fiber were larger than that of type Ⅱ fiber significantly in normal human and patient.For patient,the number of tyep Ⅰ were less and type Ⅱ more than those of normal.The border of the fiber was not clear and there were small vacuoles on the section of fiber in patients. Conclusions:The cervical posterior deep muscles play an important role in maintaining the physiological posture and movement function of the cervical spine.The pathological changes of the fibers might be one of the important causes of degenerative cervical spinal instability.

目的:研究颈后深部肌肉的肌纤维型分布和横切面积,探讨其生理功能和在退变性颈椎失稳发病中的作用。方法:应用肌球蛋白ATP酶染色法,观察正常人(4例)和退变性颈椎失稳患者(4例)颈后深部肌肉各型肌纤维的比例和结构特征,并测量肌纤维的横切面积。结果:正常人和退变性颈椎失稳患者颈后深部肌肉Ⅰ型和Ⅱ型纤维交织排列,横切面呈多边形或椭圆形,Ⅰ型纤维数量及横切面积均显著大于Ⅱ型纤维。退变性颈椎失稳患者肌纤维边界不清,横切面上可见小空泡,Ⅰ型纤维减少,Ⅱ型纤维增多。结论:颈后深部肌肉对维持颈段脊柱的生理姿势和运动起重要作用,肌纤维病理学改变是退变性颈椎失稳发病的重要因素之一。

Objective To discuss the relationship between two different types of cervical spinous process fracture and cervical spinal stability.Methods Retrospectively, fourteen patients with isolated cervical spinous process fractures were divided into two groups: one was nonspinolaminar breach and the other was spinolaminar breach. All were reviewed about their injury mechanisms, pathologic and photographic characteristics and treatment methods. Angles between the fracture line and the horizontal line were measured by...

Objective To discuss the relationship between two different types of cervical spinous process fracture and cervical spinal stability.Methods Retrospectively, fourteen patients with isolated cervical spinous process fractures were divided into two groups: one was nonspinolaminar breach and the other was spinolaminar breach. All were reviewed about their injury mechanisms, pathologic and photographic characteristics and treatment methods. Angles between the fracture line and the horizontal line were measured by Adobe Photoshop software and contrasted by SPSS 11.0 with Student t test.Results Nine patients were nonspinolaminar breach and the rest five were spinolaminar breach.The angles were 57.32±7.27(n=9) and 24.36±6.91(n=5) respectively and t value was 8.260(P<0.05).There was statistically difference between two groups.The cervical spinal instability was confirmed in all five patients,Four cases were operated through anterior approach.Conclusion Spinous process fractures with spinolaminar breach have cervical spinal instability and the treatment strategy is different from that of common clay-shovelers fracture.The cervical hyperflexion and hyperextension lateral plains are supposed routinely so as to diagnose early and treat correctly.

目的探讨不同类型颈椎棘突骨折与颈椎稳定性的关系。方法回顾性研究14例(15个)单纯颈椎棘突骨折,分为无椎板累及和椎板累及两组,分析受伤机制、病理特点、影像表现和治疗方法;使用AdobePhotoshop软件测量两组侧位X线片骨折线与水平线夹角,SPSS11·0作均数t检验。结果无椎板累及者9例,椎板累及者5例,两组骨折线与水平线夹角分别为57·32°±7·27°和24·36°±6·91°,t=8·260(P<0·05),差异有统计学意义。5例均证实有颈椎不稳,4例行前路手术。结论累及棘突椎板线的颈椎棘突骨折存在颈椎不稳,治疗方法不同于常见的铲土者骨折,需常规摄颈椎过伸过屈侧位X线片,以便早期作出诊断与正确的处理。

 
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