1.Application of Roy-Camille method for operating dorsolumbar spinal injuries in Cho ray hospital during 6/1994- 6/1996
Journal of Vietnamese Medicine 1999;232(1):72-82
The authors present data from 150 cases of traumatic dorsolumbar spinal injuries operated on by Roy- Camille method. There was prevalence of male patients: 80%. The majority of patients belongs to the labour age group: from 20 to 50 years of age: 87.3%. The youngest was 16, the oldest: 71. The most frequent causes are labour accidents: 71.3%, fall having the highest percentage: 48.6%. The machanism of injury is compression with decreased vertebral body in height: 52%. There were extraspinal lesion in 13.3% of cases. Pain at the lesion level was found in 13.3% of cases. Pain at the lesion level was found in 100%- 91.3% of the patients had disturbaces; 82.7% these was hyposensibility under the level of the lesion, in 76.7% there was complete. In 66% fracture of the spine was found and 52% had dislocation. most often surgery was done in emergency. 82% had laminectomy, 94.7% had three spinal bodies fixed. Mean hospitalization: 9.6 days. 20 patients recovered from neurological funtions during hospitalization.
Spinal Injuries
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surgery
2.Current situation and prospect in treatment of spine and spinal cord injuries.
Chinese Journal of Traumatology 2009;12(3):131-132
Spine and spinal cord injuries represent one of the most survivable, yet disabling injuries known to man. Many countries and governments have contributed great resources to study on it. With the rapid development of modern basic and clinical medicine, many effective methods can be selected to restore the mechanical stability of damaged spinal column, including several minimal invasive surgical operations. Unfortunately, up to now, there are few effective therapeutic tools for the treatment of severe spinal cord injury. But new discoveries in basic research field and progress in modern rehabilitation medicine bring us great prospects.
Humans
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Spinal Cord Injuries
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rehabilitation
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surgery
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Spinal Injuries
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rehabilitation
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surgery
3.Results of emergency operation for thoracolumbar vertebral column fixation by combined two incisions (front and behind) at Viet Duc Hospital from January 2005 to July 2006
Journal of Surgery 2007;57(5):17-22
Background: Vertebral column injuries are severe and common injuries in sugical emergencies. In vertebral column injuries, thoracolumbar location damages commonly because of its anatomic features. Objective: To describe clinical, subclinical features, and results of treatment in patients with vertebral column injuries who operated by combined two incisions; To discuss operative indications for thoracolumbar Burst fracture injuries. Subjects and method: The prospective study was performed in patients with thoracolumbar vertebral column injuries who operated at Viet Duc, from January to December 2005. All patients were evaluated about clinical, subclinical features, operative indications and techniques, and results. Results: The time from the accident to the operation was 24-72 hours (54.8%), over 6 days (25.8%), 3-6 days (12.9%), and 6-24 hours (6.5%). 13 of 31 cases damaged in L2, and 12 cases damaged in L1. The average time of operation was 5 hours 43 minutes (ranged 4 hours to 8 hours 30 minutes). The average transfused blood amount was one unit (ranged from 0 to 4 units). For complete paralysis, most patients recovered fully. For thoracolumbar Burst fracture injuries with incomplete paralysis, it should operate by front incision. In Burst fracture injuries with clear-off vertebra, no paralysis; it also should operate by front incision. Conclusions: The operation with combined two incisions (front and behind) was safe and effective technique for thoracolumbar vertebral column fixation.
Spinal Injuries/ surgery
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pathology
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therapy
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4.Preliminary remark on results of emergency surgery fixing thoracolumbar spine combined 2 ways (anterior and posterior ways) in Viet Duc Hospital from January, 2005 to July, 2006.
Thach Van Nguyen ; Long Hoang Nguyen
Journal of Surgery 2007;57(1):89-96
Background: Spinal injury is a severe, common injury in surgical emergency. In Vietnam, there are only few studies on fixing thoracolumbar spine. Objectives: To assess and to provide some preliminary remarks on the results of emergency surgery fixing thoracolumbar spine, performed in Viet Duc Hospital. Subjects and method: A descriptive, prospective study was conducted on 31 patients with thoracolumbar spinal injury (22 males, 9 females, the average age 35 years old), operated in Viet Duc hospital from January, 2005 to July, 2006. Results:Patients with thoracolumbar spinal injury was common seen in working ages. 45.2% of them were farmers. 21/31 patients caused by falls. For non-complete paralysis patients, emergency surgery was required as soon as possible. The most of patients recovered completely. For thoracolumbar spinal injury, Burst-fracture and non complete paralysis, surgery with anterior way should be performed to release cord compression and bone graft. For cases of Burst-fracture, no paralysis, surgery with anterior way helped bone fractures were easy to heal, avoiding postoperative humpback recurrence. Conclusion: Combined surgery with 2 ways (before and after) guaranteed fixing spine, making bone healing was more better in case of rupture of vertebrae, releasing directly spinal cord and facilitating to the best recovery of the spinal cord.
Spinal Injuries/ surgery
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Thoracic Vertebrae/ injuries
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surgery
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Lumbar Vertebrae/ injuries
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surgery
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Fractures
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Bone Emergencies
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5.Therapeutic strategies in the surgical treatment of Hangman's fractures.
Wei-yu JIANG ; Wei-hu MA ; Rong-ming XU
China Journal of Orthopaedics and Traumatology 2009;22(8):585-588
Hangman's fractures are located in the region between facets of the axis, which are accompanied by an increasing rate recently. However,there are no uniform standards for the treatment, especially for the treatment of fractures of types II and IIa because the operative approaches which include anterior and posterior are supported by different groups. The article tried to make an analysis on pathological anatomy, mechanism, types and surgical treatment of Hangman's fractures.
Cervical Vertebrae
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injuries
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surgery
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Humans
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Spinal Fractures
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classification
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surgery
7.Paraspinal approach for thoracolumbar fracture.
Rui JIANG ; Han WU ; Jin-cheng WANG ; Wen-xuan LI ; Yang WANG
Chinese Journal of Traumatology 2011;14(1):3-6
OBJECTIVETo explore the advantages and indications of the paraspinal approach by anatomical study and clinical application.
METHODSThe anatomical data and clinical practice of 27 cases were analyzed to explore the accurate approach between the paraspinal muscles and the structure of ambient tissues, as well as the results of clinical application of paraspinal approach. The operation time, blood loss, incision length, radiographic result (Cobb angle, height of anterior edge of the vertebrae) were compared with those in 24 cases treated by traditional approach.
RESULTSComplete exposure of the facets could be easily performed by identifying natural cleavage plane between the multifidus and longissimus muscles. The natural muscular cleavage was (1.47+/-0.23) cm lateral to the midline for females, and (1.64+/-0.35) cm for males at T(12) level. The distance was (3.3+/-0.6) cm lateral to the midline for females, and (3.7+/-1.0) cm for males at L(4) level. In paraspinal approach group, the operation time was (76.2+/-15.7) min, blood loss was (91.6+/-16.9) ml and incision length was (7.6+/-0.8) cm. In traditional approach group, the operation time was (121.4+/-19.6) min, blood loss was (218.7+/-32.3) ml and incision length was (17.4+/-2.1) cm. To compare paraspinal approach with traditional approach, the operation time, blood loss and incision length had statistical difference (P less than 0.05) and the radiographic result (Cobb angle, height of anterior edge of the vertebrae) had no statistical difference (P larger than 0.05).
CONCLUSIONSWhen the paraspinal approach is performed through natural cleavage plane between the multifidus and longissimus muscles, there are no wide muscular disinsertions, leaving the supraspinous and interspinous ligaments intact. The distance of natural cleavage to the midline is different at T(12) and L(4) planes. By this approach, the facet joints can be explored easily and completely, and a clear surgical field will be available for the placement of pedicle screws. As a minimally invasive approach, it can be widely used in thoracolumbar spine surgery.
Female ; Humans ; Lumbar Vertebrae ; injuries ; surgery ; Male ; Spinal Fractures ; surgery ; Thoracic Vertebrae ; injuries ; surgery ; Time Factors
8.Outcomes of surgeries for acute cervical spinal cord injury without cervical spine fracture or dislocation in young and middle-aged patients.
Qing CHANG ; Zhan-sheng DENG ; Jing CHEN
Journal of Southern Medical University 2011;31(5):919-920
OBJECTIVETo study the outcomes of surgeries for acute central cervical spinal cord injury without cervical spine fracture or dislocation in young and middle-aged patients.
METHODSThe clinical data of 58 young and middle-aged patients with acute central cervical spinal cord injury treated in our hospital between August 2005 and August 2009 were analyzed retrospectively. Of these patients, 33 (24 males and 9 females) received surgical treatment and 25 (17 males and 8 females) had conservative therapy. The ASIA grade and ASIA motor and sensory score were used for evaluation at admission and at 14 days and 1 year after the treatment. The neurological symptoms and treatment outcomes in the two groups were evaluated.
RESULTSThe proportion of patients with ASIA grade D-E and the ASIA motor and sensory scores were all significantly higher in the surgical group than in the non-surgical treatment group (P<0.05).
CONCLUSIONFor young and middle-aged patients with central cervical spinal cord injury, immediate surgery can relieve the pressure on the injured spinal cord and improve the micro-circulation to promote functional recovery of the spinal cord.
Adult ; Cervical Vertebrae ; injuries ; surgery ; Female ; Humans ; Joint Dislocations ; surgery ; Male ; Middle Aged ; Neck Injuries ; surgery ; Retrospective Studies ; Spinal Cord Injuries ; surgery ; Spinal Fractures ; surgery ; Young Adult
9.Chance fracture of T12 vertabra with a huge epidural hematoma: a case report.
Gong-lin ZHANG ; Bao-feng GE ; Xing-yan LUI ; Ke-ming CHEN ; Meng-hai BAI ; Ying YIN
China Journal of Orthopaedics and Traumatology 2009;22(3):237-237
Adult
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Hematoma, Epidural, Spinal
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etiology
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Humans
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Male
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Spinal Fractures
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complications
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surgery
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Thoracic Vertebrae
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injuries
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surgery
10.Manual reduction of severe cervical fracture and dislocation combined with anterior and posterior surgery under general anesthesia:a case report and literature review.
Yue-Peng SONG ; Xin-Ge SHI ; Wei-Ran HU ; Hao-Hao MA ; Shuai XING ; Xiao-Nan WU
China Journal of Orthopaedics and Traumatology 2023;36(1):64-67