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traumatic spondylolisthesis
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  “traumatic spondylolisthesis”译为未确定词的双语例句
     Background There is ambiguity concerning the nomenclature and classification of the traumatic spondylolisthesis of the Axis(TSA).
     背景 创伤性枢椎滑脱(Traumatic Spondylolisthesis of the Axis以下称TSA)的命名和分类仍然是混淆的。
短句来源
     Method: From Jun.2002 to Jan.2004,six acute traumatic spondylolisthesis of axis patients with instability of C_~2~3 ,whose MRI showed no significant change of C_~2~3 disc and the continuation of anterior longitudinal ligament,received the operation of posterior C_~2~3 fixation with CerviFix system.
     方法2002年6月~2004年1月在新鲜的Hangman骨折患者中选择6例C_(2~3)不稳(MRI示C_(2~3)椎间盘形状和信号无明显改变、前纵韧带连续)行颈后路C2椎弓根螺钉、C3侧块螺钉的CerviFix系统固定术。
短句来源
     Acute traumatic spondylolisthesis
     急性创伤性腰椎滑脱
短句来源
     Objective: To explore the indications and the result of C_~2~3 posterior fixation with CerviFix system in treatment of traumatic spondylolisthesis of axis (Hangman's fracture).
     目的探讨颈后路CerviFix系统固定C_(2~3)治疗Hangman骨折的适应证及疗效。
短句来源
     Methods From February 1998 to December 2000, 22 patients with acute traumatic spondylolisthesis of axis were treated.
     方法1998年2月~2000年12月共收治Hangman骨折患者22例。
短句来源
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  相似匹配句对
     Acute traumatic spondylolisthesis
     急性创伤性腰椎滑脱
短句来源
     Traumatic Spondylolisthesis of the Axis
     创伤性枢椎滑脱
短句来源
     Spondylolisthesis (B);
     状态B为L45滑脱的腰椎滑脱模型;
短句来源
     TRAUMATIC CHYLOTHORAX
     创伤性乳糜胸
短句来源
     Traumatic Diaphragmtocele
     创伤性膈疝21例临床分析
短句来源
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  traumatic spondylolisthesis
Functional outcome following traumatic spondylolisthesis of the axis
      
Traumatic spondylolisthesis of C2 was the most common associated cervical injury (10%).
      
The subtype analyses of lateral mass fractures demonstrated high rates of anterior translation in separation, split, and traumatic spondylolisthesis, as well as significant coronal malalignment in comminution and split types (p>amp;lt;0.05).
      
Thirty-nine consecutive patients, 22 male and 17 female with an average age of 37.6 years, with traumatic spondylolisthesis of the axis were reviewed.
      
Traumatic spondylolisthesis of the axis: treatment rationale based on the stability of the different fracture types
      
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Aim: Further study of traumatic spondylolisthesis of the Axis (TSA) in diagnosis and treatment was performed. Methods: In this paper we reported 18 cases of TSA, including its clincal manifestations, therapy measurments and outcomes. Results: All patients were recovered with excellent outcomes. No reoccures and instable in upper cervical spine had happened with an average 2. 9years follow - up. Conclusion: There were various mechanisms of injury could cause TSA. It was important to make correct diagnosis...

Aim: Further study of traumatic spondylolisthesis of the Axis (TSA) in diagnosis and treatment was performed. Methods: In this paper we reported 18 cases of TSA, including its clincal manifestations, therapy measurments and outcomes. Results: All patients were recovered with excellent outcomes. No reoccures and instable in upper cervical spine had happened with an average 2. 9years follow - up. Conclusion: There were various mechanisms of injury could cause TSA. It was important to make correct diagnosis and to take proper treatment in time. CT could make clear in diagnosis. In general the treatment was conservative, but operation may meed if there were instable.

目的:进一步认识创伤性枢椎滑脱的诊治特点。方法:报告18例创伤性枢椎滑脱的临床表现,治疗方法和疗效。结果:18例均治愈,疗效满意,无复发和颈椎不稳表现。结论:多种创伤机制均可造成创伤性相椎滑脱,应避免首诊时漏诊。以保守治疗为主,对有不稳定表现者宜手术治疗。

Objective: To determine if PLIF can be accomplished by utilizing single diagonal fusion cage supplemented with transpedicular screw/rod instrumentation in treatment of lumbar spondylolisthesis. Methods: Sixty five patients with lumbar spondylolisthesis underwent a PLIF using one single fusion cage (BAK) inserted posterolaterally and oriented counter anterolaterally on the symptomatic side with unilateral facetectomy, and with same level supplemental transpedicular screw/rod fixation. Patients (28 to 58 years...

Objective: To determine if PLIF can be accomplished by utilizing single diagonal fusion cage supplemented with transpedicular screw/rod instrumentation in treatment of lumbar spondylolisthesis. Methods: Sixty five patients with lumbar spondylolisthesis underwent a PLIF using one single fusion cage (BAK) inserted posterolaterally and oriented counter anterolaterally on the symptomatic side with unilateral facetectomy, and with same level supplemental transpedicular screw/rod fixation. Patients (28 to 58 years of age) had at least 1 year of low back pain and/or sciatica, and a severely restricted functional ability. The inclusion criteria were lumbar isthmic spondylolisthesis of 1 to 2 grade (n=26),lumbar degenerative spondylolisthesis (n=25),post laminectomy lumbar spondylolisthesis (n=7),lumbar congenital spondylolisthesis (n=5) and lumbar traumatic spondylolisthesis (n=2). Results: All these 59 patients were followed up meanly 18 months. All achieved successful radiographic fusion at 12 to 18 months Clinical results at 2 years, 42/59 patients were excellent, 14/59 were good, 3/59 fair, and no poor clinical results. No implant fractures or deformities occurred in all patients. Conclusion: PLIF using diagonal insertion of single threaded cage with supplemental transpedicular screw/rod instrumentation enables sufficient decompression and solid interbody fusion to be achieved while maintaining a minimal invasive to the posterior spinal elements. It's a clinically safe, easy and economical technique of PLIF to treat lumbar spondylolisthesis.

目的 :探索以单枚椎间融合器后斜向植入附加椎弓根螺钉系统内固定的后路腰椎椎体间融合术治疗腰椎滑脱症。方法 :1997年 7月~ 2 0 0 0年 8月 ,我们收治了各类腰椎滑脱症 6 5例患者 (男 32例 ,女 33例。年龄 2 8~ 5 8岁 ,平均 43岁 )。其中 ,峡部型滑脱症 (Ⅰ~Ⅱ°) 2 6例 ,退行性滑脱症 2 5例 ,腰椎后路减压术后滑脱症 7例 ,发育不良性腰椎滑脱症 5例 ,外伤性滑脱症 2例。均有一年以上的下腰痛和 /或下肢根性症状且保守治疗无效。所有患者均在减压的基础上行病变节段的单枚螺纹式椎间融合器 (BAK)的后斜向植入并附加用椎弓根螺钉系统内固定。结果 :6 5例中有 5 9例平均随访达 18月 ,皆达到临床融合。临床效果评价 :优 42例 ,良 14例 ,无改善 3例 ,差 0例。患者主观评定满意 41例 ,基本满意 15例 ,可 3例所有患者均无融合器的移位及椎弓根螺钉松动 ,患者主观满意率 93%。结论 :经侧后方斜向植入单枚螺纹状椎间融合器并附加椎弓根螺钉内固定的后路腰椎椎体间融合术式能充分完成后路减压 ,并能保证可靠的融合 ,适用于滑脱程度严重、滑脱倾向大的患者 ...

目的 :探索以单枚椎间融合器后斜向植入附加椎弓根螺钉系统内固定的后路腰椎椎体间融合术治疗腰椎滑脱症。方法 :1997年 7月~ 2 0 0 0年 8月 ,我们收治了各类腰椎滑脱症 6 5例患者 (男 32例 ,女 33例。年龄 2 8~ 5 8岁 ,平均 43岁 )。其中 ,峡部型滑脱症 (Ⅰ~Ⅱ°) 2 6例 ,退行性滑脱症 2 5例 ,腰椎后路减压术后滑脱症 7例 ,发育不良性腰椎滑脱症 5例 ,外伤性滑脱症 2例。均有一年以上的下腰痛和 /或下肢根性症状且保守治疗无效。所有患者均在减压的基础上行病变节段的单枚螺纹式椎间融合器 (BAK)的后斜向植入并附加用椎弓根螺钉系统内固定。结果 :6 5例中有 5 9例平均随访达 18月 ,皆达到临床融合。临床效果评价 :优 42例 ,良 14例 ,无改善 3例 ,差 0例。患者主观评定满意 41例 ,基本满意 15例 ,可 3例所有患者均无融合器的移位及椎弓根螺钉松动 ,患者主观满意率 93%。结论 :经侧后方斜向植入单枚螺纹状椎间融合器并附加椎弓根螺钉内固定的后路腰椎椎体间融合术式能充分完成后路减压 ,并能保证可靠的融合 ,适用于滑脱程度严重、滑脱倾向大的患者 ,不失为一种比较理想的治疗各种腰椎滑脱症的术式

Objective To define the indications of direct transpedicular lag screw to treat traumatic spondylolisthesis of axis (Hangmans fracure) and to evaluate the result of the technique. Methods From February 1998 to December 2000, 22 patients with acute traumatic spondylolisthesis of axis were treated. Ten of them achieved anatomic reduction by skull traction but no acceptable stability was ensured by traction alone. Among the ten patients, eight had integral and normal shaped C2 vertebral bodies...

Objective To define the indications of direct transpedicular lag screw to treat traumatic spondylolisthesis of axis (Hangmans fracure) and to evaluate the result of the technique. Methods From February 1998 to December 2000, 22 patients with acute traumatic spondylolisthesis of axis were treated. Ten of them achieved anatomic reduction by skull traction but no acceptable stability was ensured by traction alone. Among the ten patients, eight had integral and normal shaped C2 vertebral bodies (6 male, 2 female; age ranged from 18 to 42 years with an average of 28.2 years; 5, 2 and 1 patients classified as type Ⅰ, Ⅱ and Ⅱa injuries respectively according to Levine-Edwards classification and graded as D spinal injury in 2 cases and E in 6 cases according to Frankel scale) were further fixed with transpedicular lag screw. Under general anesthesia, the patients were laid in prostrate decubitus in a prepared head-neck-chest ventral plaster plate with skull traction in place to maintain reduction and lateral image intensification was applied to confirm the reduction. A posterior midline incision from C1-C3 was performed, and soft tissue was released to expose clearly the lamina, lateral mass, superior and medial aspect of the C2 pars interarticularis (isthmus plus pedicle). Points of entry for screw insertion were located at the entrance at the posterior aspect of lateral mass. The drill bit is parallel to both of the medial and superior border of C2 pars interarticularis (usually 25°-30° cephalad to the transverse plane and 30°-35° medial to the sagittal plane). The screw hole in the posterior cortex was overdrilled with a 3.5 mm drill bit for interfragmentary compression. 3.5 mm screws (25-30 mm, determined by depth gauge) were drived in after the cortex being tapped with a 3.5 mm tap. The whole procedure was done under monitoring of "C" arm fluoroscopy for safety and accuracy. Results It costs an average of 70 minutes to finish the procedure with mean blood loss of 250 ml. Hospital stay was about 18 days. A mean follow up time of 14 months (11 to 18 months) didnt confirm any early or late postoperative complications, all cases gained bony union 3 months later with complete neurological function recovery. The range of neck rotation was restored normal with no C2,3 instability or screw loosing found. Conclusion With appropriate indications, transpedicular lag screw fixation provides good reduction and stability to Hangmans fracture. This technique can only be applied to the fractures which are reductable.

目的探讨C_2椎弓根拉力螺钉治疗Hangman骨折的适应证,并评估其疗效。方法1998年2月~2000年12月共收治Hangman骨折患者22例。经颅骨牵引有10例骨折获得解剖复位但不稳定,对其中椎体结构完整的8例进一步施行了3.5mmC2椎弓根拉力螺钉内固定。男6例,女2例;年龄18~42岁,平均28.2岁。Levine-EdwardsⅠ型5例,Ⅱ型2例,Ⅱa型1例。脊髓功能FrankelD级2例,E级6例。患者全麻后俯卧于预制好的头-颈-胸石膏床腹片上,取后正中切口,暴露C1~C3后方结构。取C2侧块中点为进钉点,根据C2椎弓根的内缘和上缘走行确定进钉方向,一般为向头端倾斜25°~30°,向中线倾斜30°~35°。应用测深器确定螺钉长度,一般为25~30mm。所有操作均在“C”型臂X线机透视下完成。结果手术平均时间70min。未发现术后的早期和晚期并发症,神经功能恢复正常,所有骨折均在术后3个月愈合,颈椎活动范围接近正常,未出现C2,3的脱位和拉力螺钉的松动。结论C2椎弓根拉力螺钉技术可使Hangman骨折获得良好的即刻复位,通过骨块间加压恢复C2,3节段的稳定性。其适应证应限于骨折可复位的病例。

 
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