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spinal fractures
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    Treatment of spinal fractures in ankylosing spondylitis
    强直性脊柱炎合并脊柱骨折的治疗
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    (2) Significant difference was shown in osteoporotic vertebral spinal fractures and osteoporotic vertebral hip fractures between different genders (P<0.01), but no difference was found in radius and ulna fractures and other fractures (P>0.05).
    ②男性和女性间椎体、髋骨骨质疏松性骨折均有显著差别(P<0.01)桡骨及其他部位骨折男性和女性间无差别(P>0.05)。
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  spinal fractures
Can lacerations of the thoraco-lumbar dura be predicted on the basis of radiological patterns of the spinal fractures
      
This case report demonstrates the need for close observation of osteoporotic spinal fractures as delayed onset of neurologic compromise can occur.
      
The purpose of this prospective study was to assess the efficacy of the Gertzbein classification and the Load Shearing classification in the conservative treatment of thoracolumbar burst spinal fractures.
      
Three cervical spinal fractures are presented patients with ankylosing spondylitis.
      
A retrospective clinical trial was initiated to analyze sporting activity and performance after surgical treatment of spinal fractures.
      
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Objective To summarize the experience in the treatment of ankylosing spondylitis with spinal fracture and spinal cord injuries. Methods The treatment and results of 12 patients with ankylosing spondylitis with spinal fracture and spinal cord injuries were reviewed and compared. Results and Conclusions We emphasize that the treatment of complications, especially pneumonia, is very important. Conservative treatment may be used at first, but the patients with surgical indications should...

Objective To summarize the experience in the treatment of ankylosing spondylitis with spinal fracture and spinal cord injuries. Methods The treatment and results of 12 patients with ankylosing spondylitis with spinal fracture and spinal cord injuries were reviewed and compared. Results and Conclusions We emphasize that the treatment of complications, especially pneumonia, is very important. Conservative treatment may be used at first, but the patients with surgical indications should be operated early.

目的探讨强直性脊柱炎并发脊柱脊髓损伤的治疗方法。方法回顾 12例强直性脊柱炎并发脊柱脊髓损伤患者的临床治疗过程与结果 ,比较不同的治疗方案。结果与结论积极防治并发症尤其是肺部感染是治疗的首要任务 ,应先进行保守治疗 ,有手术指征者尽早接受手术治疗

Objective To investigate the clinical treatment of ankylosing spondylitis complicated with spinal fracture. Methods From 1992 up to 2002, 7 patients with ankylosing spondylitis complicated with spinal fracture were admitted. Five patients were received conventional treatment and 2 patients were operated by the MACS TL fixation system of AESCULAP Inc. Results Two patients with cervical injury died of respiratory failure after 1 year. One patient with T 12/L 1 injury was dead of bed sore...

Objective To investigate the clinical treatment of ankylosing spondylitis complicated with spinal fracture. Methods From 1992 up to 2002, 7 patients with ankylosing spondylitis complicated with spinal fracture were admitted. Five patients were received conventional treatment and 2 patients were operated by the MACS TL fixation system of AESCULAP Inc. Results Two patients with cervical injury died of respiratory failure after 1 year. One patient with T 12/L 1 injury was dead of bed sore after 2 years. Two patients with stress fractures were cured follow up with relief of symptoms after 3 months . After 1 year, two operated patients achieved Frankel's class C from class B. Conclusion In ankylosing spondylitis, the spine cord is easily hurt once the fracture happens,.Immediate surgical decompression and internal fixation are recommended if the patient’s condition permit.

目的探讨强直性脊柱炎合并脊柱骨折的临床治疗。方法 1992~ 2 0 0 2年收治强直性脊柱炎合并脊柱骨折患者 7例 ,5例患者采用保守治疗 ;2例行手术治疗 ,采用AESCULAP的MACSTL胸腰椎前路固定系统进行固定 ,观察疗效。结果 2例颈椎损伤患者均因呼吸衰竭在 1年内死亡 ;1例T12 /L1损伤患者因褥疮感染于 2年后死亡 ;2例应力性骨折患者经对症治疗 3月后症状缓解 ;2例胸腰段骨折行手术治疗的患者 ,1年后复查脊髓神经损伤程度由原来B级恢复至C级。结论强直性脊柱炎患者一旦发生脊柱骨折 ,容易造成脊髓损伤 ;对脊髓损伤的患者 ,应争取早日行手术减压和内固定术。

Objective To study the changes of bone mineral content (BMC) with the increasing age by quantitative computed tomography (QCT), to find a standard value of bone mineral density (BMD) which likely to have frature, i.e. fracture threshold and to provide evidences to prevent elder osteoporosis (OP). Methods Sixty male and 64 female patients who were diagnosed OP by X-ray photograph were selected. The cacellous bone structure in the middle of centrum cross-section was detected by QCT and the total Ca-HA value (mg/cm~3)...

Objective To study the changes of bone mineral content (BMC) with the increasing age by quantitative computed tomography (QCT), to find a standard value of bone mineral density (BMD) which likely to have frature, i.e. fracture threshold and to provide evidences to prevent elder osteoporosis (OP). Methods Sixty male and 64 female patients who were diagnosed OP by X-ray photograph were selected. The cacellous bone structure in the middle of centrum cross-section was detected by QCT and the total Ca-HA value (mg/cm~3) of L1, L2, and L3 was obtained by statistical software. Results (1) Negative correlation was found between the BMD and the age and the threshold of fracture in male was 109.26 mg/cm~3 and 100.19 mg/cm~3 in female. (2) Significant difference was shown in osteoporotic vertebral spinal fractures and osteoporotic vertebral hip fractures between different genders (P<0.01), but no difference was found in radius and ulna fractures and other fractures (P>0.05). Conclusions (1) The clinical application of the fracture threshold would provide evidences to prevent elder fracture. (2) The reduction of BMC would cause OP with the increased age, which was the pathological basis of pathologic fracture.

目的本研究通过定量CT进行骨密度的测定,分析随着年龄增加骨密度的变化,确定易发生骨折的骨密度标准值,即骨折阈值;并为预防骨质疏松症的发生提供理论依据。方法选择来我院就诊的深圳地区骨折患者男性60人,女性64人,通过X线平片确定为骨质疏松性骨折。用定量CT(QCT)测量椎体横断面中部的松质骨结构,通过软件处理得到L1、L2、L3总的松质骨中骨矿(CaHA)密度数值(mgcm3)。结果①骨密度值与年龄呈负相关,随着年龄增长骨密度随之降低,按P<0.05确定易发生骨折的BMD阈值,男性为109.26mgcm3,女性为100.19mgcm3;②男性和女性间椎体、髋骨骨质疏松性骨折均有显著差别(P<0.01)桡骨及其他部位骨折男性和女性间无差别(P>0.05)。结论①男性易发生骨质疏松性骨折的骨密度阈值为109.26mgcm3,女性为100.19mgcm3;②随着年龄的增大,骨密度的丢失导致骨质疏松。骨质疏松是病理性骨折的病理基础,外力作用是骨质疏松性骨折的诱因。

 
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