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Contemporary Spine Surgery最新文献

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Cement Augmentation for Pedicle Screw Instrumentation 椎弓根螺钉内固定的水泥增强术
Pub Date : 2015-07-01 DOI: 10.1097/01.CSS.0000467232.66898.b9
A. Marquez-Lara, Sreeharsha V. Nandyala, Brian Hood, Michael Y. Wang
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引用次数: 0
Clinical Utility of Mesenchymal Stem Cells In the Treatment of Spinal Cord Injury 间充质干细胞在脊髓损伤治疗中的临床应用
Pub Date : 2015-06-01 DOI: 10.1097/01.CSS.0000466220.26774.d8
Jenna L. Robbins, P. Kumar, A. Vaccaro, Caleb J. Behrend
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引用次数: 1
Use of Bisphosphonates in Spine Surgery 双膦酸盐在脊柱外科中的应用
Pub Date : 2015-05-01 DOI: 10.1097/01.CSS.0000464907.47342.d2
A. Jagadish, Sreeharsha V. Nandyala, A. Marquez-Lara, D. Chang, Yu-po Lee
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引用次数: 0
Coccygectomy: Current Views and Controversies 尾骨切除术:目前的观点和争议
Pub Date : 2015-04-01 DOI: 10.1097/01.CSS.0000462791.73066.41
C. Hofstetter, C. Brecker, Michael Y. Wang
most commonly affected between their late 20s and early 50s.8,9 Causes of coccygodynia include direct trauma (59.1%); idiopathic causes (30.9%); childbirth (8.1%); or recent rectal surgery, lumbar surgery, or epidural injections (1.9%).8 Trauma secondary to falls or childbirth within the month before the onset of symptoms has been shown to be associated with coccygeal hypermobility.5 Maigne and colleagues5 proposed that body mass index greater than 27.4 kg/m2 in women and 29.4 kg/m2 in men increases the risk for development of idiopathic or posttraumatic coccygodynia. This is due to the diminished pelvic rotation in obese patients. The coccyx juts out more posteriorly while sitting,5 which increases the exposure to pressure and increases the risk for coccygeal subluxation. In some cases, coccygodynia can be related to tumors such as chordoma, giant cell tumor, intradural schwannoma, perineural cyst, and intraosseous lipoma.10-12
最常见的是在20多岁到50多岁之间。8,9尾骨痛的病因包括直接外伤(59.1%);特发性原因(30.9%);分娩(8.1%);或近期直肠手术、腰椎手术或硬膜外注射(1.9%)在出现症状前一个月内继发于跌倒或分娩的创伤已被证明与尾骨过度活动有关Maigne及其同事提出,女性体重指数大于27.4 kg/m2和男性体重指数大于29.4 kg/m2会增加患特发性或创伤后尾骨痛症的风险。这是由于肥胖患者盆腔旋转减少所致。坐着时,尾骨更向后突出,这增加了压力,增加了尾骨半脱位的风险。在某些情况下,尾骨痛可能与脊索瘤、巨细胞瘤、硬膜内神经鞘瘤、神经周围囊肿和骨内脂肪瘤等肿瘤有关
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引用次数: 5
Upper Cervical Spine Injuries 上颈椎损伤
Pub Date : 2015-03-01 DOI: 10.1097/01.CSS.0000461722.73786.57
W. Hsu, K. Sonn
anterior; type II, longitudinal; and type III, posterior.6 Diagnosis of occipitocervical dislocation can be made on a plain radiograph of the lateral cervical spine using the Powers ratio7 and Harris rule of 12 (Table 1).8,9 Although other measurements have been proposed,10-14 these remain the most commonly used clinical tools for diagnosis. In their study, Harris et al9 noted that a Powers ratio was not measurable in 17 of 37 cases, and that even when evaluated, it failed to detect 40% of injuries. Other authors5,15 have endorsed the use of the Harris measurements for diagnosis of atlanto-occipital dislocation injury. In a recent literature review, Theodore et al4 analyzed 105 atlanto-occipital dislocations to assess the various methods of diagnosing these injuries. They concluded that using lateral radiographs, the Harris method described above provides the most sensitive method for diagnosis. However, because this method only had a sensitivity of 50.5% on plain radiographs, the authors suggested that additional images with CT or MRI be obtained when atlanto-occipital dislocation is suspected. Although atlanto-occipital dissociation injuries result from high-energy mechanisms, other injuries are often present, including skull fracture; spinal cord transection; occipital condyle fracture; atlas fracture; atlantoaxial dislocation; lower cervical spine fracture; vertebral artery injury; subarachnoid F ractures involving the upper cervical spine can be caused by traumatic incidents such as a motor vehicle accident or fall from a height. These fractures can be associated with other injuries and lead to significant disability if there is delayed recognition or inadequate treatment. Although protocols and treatment algorithms are becoming more prevalent, there is still debate as to the best methods for diagnosis and treatment of injuries in this area. We review the most current evidence in the literature to help develop and standardize approaches to fractures in the upper cervical spine that will decrease morbidity and mortality.
前;II型,纵向;III型,后侧枕颈脱位的诊断可以在侧位颈椎平片上使用Powers比率7和Harris规则12(表1)。尽管也提出了其他测量方法10-14,但这些仍然是最常用的临床诊断工具。在他们的研究中,Harris等人9指出,在37个案例中有17个无法测量power ratio,即使进行评估,也无法检测出40%的损伤。其他作者[5,15]支持使用Harris测量法诊断寰枕脱位损伤。在最近的一篇文献综述中,Theodore等人分析了105例寰枕脱位,以评估诊断这些损伤的各种方法。他们得出结论,使用侧位x线片,上述Harris方法提供了最敏感的诊断方法。然而,由于该方法在x线平片上的灵敏度仅为50.5%,因此作者建议,当怀疑寰枕脱位时,应进行额外的CT或MRI检查。虽然寰枕分离性损伤是由高能机制引起的,但也经常存在其他损伤,包括颅骨骨折;脊髓横断;枕髁骨折;阿特拉斯断裂;atlantoaxial错位;下颈椎骨折;椎动脉损伤;涉及上颈椎的蛛网膜下腔骨折可由创伤性事件引起,如机动车事故或从高处坠落。这些骨折可能与其他损伤相关,如果认识迟缓或治疗不充分,可能导致严重的残疾。尽管协议和治疗算法变得越来越普遍,但关于该领域损伤的最佳诊断和治疗方法仍存在争议。我们回顾了文献中最新的证据,以帮助制定和规范治疗上颈椎骨折的方法,从而降低发病率和死亡率。
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引用次数: 0
Management of Vertebral Artery Injuries During Oncologic Spine Procedures 脊柱肿瘤手术中椎动脉损伤的处理
Pub Date : 2015-02-01 DOI: 10.1097/01.CSS.0000460492.37321.D0
H. Hassanzadeh, Philip K. Louie, Sreeharsha V. Nandyala, Kevin Park, H. An
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引用次数: 0
Long-Term Results of Cervical Disc Replacement 颈椎间盘置换术的远期疗效
Pub Date : 2014-12-01 DOI: 10.1097/01.CSS.0000457301.87490.80
Eric Sundberg, Kevin Park, F. Phillips
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引用次数: 0
Cervical Disc Arthroplasty 颈椎间盘置换术
Pub Date : 2014-11-01 DOI: 10.1097/01.CSS.0000455971.17383.F7
S. Hashmi, W. Hsu
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引用次数: 0
Methylprednisolone for Acute Traumatic Spinal Cord Injury 甲基强的松龙治疗急性创伤性脊髓损伤
Pub Date : 2014-10-01 DOI: 10.1097/01.CSS.0000454919.91757.34
Jefferson R. Wilson, A. Vaccaro, M. Fehlings
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引用次数: 1
Posterior Osteotomy for Symptomatic Cervical Kyphosis: Evaluation and Surgical Technique 后路截骨治疗症状性颈椎后凸:评估与手术技术
Pub Date : 2014-09-01 DOI: 10.1097/01.CSS.0000453568.06317.2F
Mark F. Kurd, T. Coutinho, Alpesh A. Patel, H. An
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引用次数: 0
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Contemporary Spine Surgery
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