胸腰椎骨折的骨盆发生率:有影响吗?

Q3 Medicine Tunisie Medicale Pub Date : 2024-11-05 DOI:10.62438/tunismed.v102i11.4941
Mourad Aoui, Nizar Sahnoun, Cyrine Fourati, Mohamed Abid, Hassib Keskes
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引用次数: 0

摘要

介绍:在外伤中,如果我们将腰骶铰链处的股骨头纳入初步病变评估,我们就可以对其进行侧位X光检查。目的:描述因胸腰椎骨折而接受手术的腰椎类型的临床和放射学结果:2005年2月至2019年7月的14年间,我们记录了120例胸腰椎骨折手术患者的临床、放射学数据和骨折特征。我们根据区域创伤性成角(ART)、矢状位法西指数(SIF)、加德纳节段駝背畸形(GSKD)对变形进行了研究。功能评估根据丹尼斯疼痛量表进行。放射学评估基于相对增减:结果:在骨盆发生率低的患者中,A型骨折的发生率为72%,而B型和C型骨折的发生率为45.9%(PC结论:骨盆发生率低的患者中,A型骨折的发生率为72%,而B型和C型骨折的发生率为45.9%):骨盆入射率低的背部被视为僵硬背部,其骨折多为 A 型,功能效果较好,损失较少。
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Pelvic incidence in thoracolumbar fractures: Is there an impact?

Introduction: In trauma, we can perform a lateral radiography of the lumbosacral hinge taking the femoral heads if we include it in the initial lesion assessment. Thus, the pelvic incidence informs about the type of back as described by Roussouly.

Aim: To describe the clinical and radiological results of these types of back which are operated on for a thoracolumbar fracture.

Methods: We recorded the clinical, radiological data and the characteristics of the fracture of 120 patient operated on for a thoracolumbar spine fracture over a period of 14 years between February 2005 and July 2019. We studied the deformation according to Regional traumatic angulation (ART), Sagittal Farcy Index (SIF), Gardner Segment Kyphotic Deformity (GSKD). Functional evaluation was carried out according to the Denis Pain Scale. Radiological evaluation was based on relative gain and loss.

Results: In individuals with low pelvic incidence, a prevalence of 72% was observed for type A fracture, whereas types B and C accounted for 45.9% (P<0.05) for backs with high pelvic incidence. The Denis Pain Scale score indicated that 90% of individuals with low incidence backs had scores below 3, whereas only 65.6% of those with high incidences had scores below 3 (P<0.05). The loss of correction for backs with low incidences was measured at 1.2°, while for backs with high incidences, it was 3° (p<0.05).

Conclusion: Fractures on backs with low pelvic incidence considered as stiff backs are more frequently of type A, with better functional results and less losses.

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来源期刊
Tunisie Medicale
Tunisie Medicale Medicine-Medicine (all)
CiteScore
1.00
自引率
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发文量
72
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