China Journal of Orthopaedics and Traumatology
2002 (v1, n1) to Present ISSN: 1671-8925
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Diagnosis and treatment of popliteal vascular injury associated with knee joint trauma.
China Journal of Orthopaedics and Traumatology.2009;22(10):765-766.
China Journal of Orthopaedics and Traumatology.2009;22(10):763-764.
OBJECTIVETo explore the feasibility and the result for the surgical treatment of spastic cerebral paralysis of the upper limbs in patients who underwent the selective cervical dorsal root cutting off part of the vertebral lateral mass fixation combined with exercise therapy.
METHODSFrom March 2004 to April 2008, 27 patients included 19 boys and 8 girls, aging 13-21 years with an average of 15 years underwent selective cervical dorsal root cutting off part of the vertebral lateral mass fixation with exercise therapy. The AXIS 8 holes titanium plate was inserted into the lateral mass of spinous process through guidance of the nerve stimulator, choosed fasciculus of low-threshold nerve dorsal root and cut off its 1.5 cm. After two weeks, training exercise therapy was done in patients. Training will include lying position, turning body, sitting position, crawling, kneeling and standing position, walking and so on. Spastic Bobath inhibiting abnormal pattern was done in the whole process of training. The muscular tension, motor function (GMFM), functional independence (WeeFIM) were observed after treatment.
RESULTSAll patients were followed up from 4 to 16 months with an average of 6 months. Muscular tension score were respectively 3.30 +/- 0.47 and 1.25 +/- 0.44 before and after treatment;GMFM score were respectively 107.82 +/- 55.17 and 131.28 +/- 46.45; WeeFIM score were respectively 57.61 +/- 25.51 and 87.91 +/- 22.39. There was significant improvement before and after treatment (P < 0.01).
CONCLUSIONSelective cervical dorsal root cutting off part of the vertebral lateral mass fixation combined with exercise therapy was used to treat spastic cerebral paralysis of the upper limbs is safe and effective method, which can decrease muscular tension and improve motor function, which deserves more wide use.
China Journal of Orthopaedics and Traumatology.2009;22(10):761-762.
China Journal of Orthopaedics and Traumatology.2009;22(10):759-761.
OBJECTIVETo explore the analgesic effect of electroacupuncture (EA) combined with acupoint-injection in treating lumbar intervertebral disc herniation.
METHODSSixty patients with lumbar intervertebral disc herniation were divided randomly into treatment group (30 cases, group A) and control group (30 cases, group B) according to random digits table. Involved 31 males and. 29 females in the study,the age was from 35 to 62 years with an average of 48.3 years. The patients in group A were treated with EA (once a day, a total of 10 times) and acupoint-injection (once every two days, a total of 5 times) at L4 Jiaji (EX-B2), L5 Jiaji (EX-B2), Zhibian (BL54), Huantiao (GB30), Yanglingquan (GB34), Weizhong (BLA0) and Kunlun (BL60); and the patients in group B were treated with single EA (Once a day, a total of 10 times). After 10 days of treatment, the visual analogue scale (VAS) was adopted to examine and compare the main pain score, and the clinical effects were compared between two groups from the symptoms and signs in accordance with efficacy criteria.
RESULTSThe paregoric effect of group A was better than that of group B, there was significant differences in the main pain score between two groups (t = 7.18, P < 0.01). The clinical effect of group A was better than that of group B,there was significant differences between two groups (u = 2.91, P < 0.01).
CONCLUSIONEA combined with acupoint-injection is a convenient and highly effective therapy for lumbar intervertebral disc herniation, which can effectively relieve the pain of the patients, should be to promote clinical use.
Microscope-assisted minimally invasive decompression for degenerative lower lumbar spinal stenosis.
China Journal of Orthopaedics and Traumatology.2009;22(10):757-758.
OBJECTIVETo evaluate clinical results of microscope-assisted minimally invasive decompression for degenerative lower lumbar spinal stenosis.
METHODSFrom May 2007 to November 2008, 26 patients with degenerative lower lumbar spinal stenosis were treated with microscope-assisted minimally invasive decompression. Including 9 males and 17 females, the mean age were 53.7 years (range in 47-75 years). The course of disease was from 2 to 8 years with an average of 3.6 years. Single segment symptom had 20 cases and double segments had 6 cases. The clinical effects were evaluated and improvement rate was calculated according to JOA scoring before and after operation.
RESULTSThe operative time in single segment was 60-90 minutes with an average of 75 minutes and in double segments was 80-180 minutes with an average of 95 minutes. The operative bleeding in single segment was 50-120 ml with an average of 85 ml and in double segments was 60-150 ml with an average of 100 ml. All the patients were followed up with an average of 8.6 months (range in 6-24 months). The clinical effects were evaluated according to JOA scoring,excellent in 18 cases,good in 7,poor in 1,the rate of excellent and good was 96% and improvement rate was 86%. The mean JOA scoring was respectively 3.92 +/- 0.83 and 12.67 +/- 1.92 before and after operation. There was significantly statistic difference between before and after operation (P < 0.01).
CONCLUSIONMicroscope-assisted minimally invasive decompression for degenerative lower lumbar spinal stenosis can obtain satisfactory therapeutic effect,which had advantages of short operative time, less trauma, subtle operation, fast restoration, but it is inapplicable for the patients with obviously ossification or calcification of vertebral body, severe vertebral canal adherence.
China Journal of Orthopaedics and Traumatology.2009;22(10):755-756.
OBJECTIVETo explore operative effect of lumbar intervertebral disc herniation accompanying with lumbar instability.
METHODSForm June 2000 to June 2006, 46 patients of lumbar intervertebral disc herniation accompanying with lumbar instability were treated with decompression through posterior approach, diskectomy, spinal fusion and vertebral pedicle internal fixation. Including 33 males and 13 females,the age was from 37 to 68 years with an average of 48 years. The course of disease was from 4 months to 20 years with an average of 3.5 years. There were simple segment in 21 cases, double segments in 22 cases, three segments in 3 cases.
RESULTSAll patients were followed up for 12-45 months with an average of 25 months. All cases got solid fusion and clinical symptom improved obviously. According to clinical standard to evaluation, 32 cases obtained excellent result, 8 good, 6 fair. The rate of excellent and good was 86.9%.
CONCLUSIONDiskectomy, spinal fusion and internal fixation can obtain satisfactory clinical effect for lumbar intervertebral disc herniation accompanying with lumbar instability.
China Journal of Orthopaedics and Traumatology.2009;22(10):753-754.
Micro-decompression procedure for lumbar spinal stenosis.
China Journal of Orthopaedics and Traumatology.2009;22(10):751-753.
OBJECTIVETo evaluate clinical result of the micro-decompression procedure for lumbar spinal stenosis.
METHODSFrom September 2001 to May 2006,87 patients (male 60, female 27) with lumbar spinal stenosis underwent micro-decompression. The age of patients were from 43 to 80 years with an average of 51 years. Among them,2 cases with spinal stenosis occured in L(3,4), 47 in L(4,5), 38 in L5S1.
RESULTSAll patients were followed up for 18-48 months with an average of 26 months. The results were excellent in 52 cases, good in 28, poor in 7, according to Macnab of back leg pain standard. The rate of excellent and good was 92%.
CONCLUSIONOperative treatment for lumbar spinal stenosis is focused at the areas causing symptomatic neural root compression rather than prophylactic decompression at areas of nonsymptomatic disease. The micro-decompression procedures are more likely to be well tolerated by older patients.
Treatment of Zone II flexor tendon injury.
China Journal of Orthopaedics and Traumatology.2009;22(10):749-750.
Imaging diagnosis of lumbar spinal stenosis.
China Journal of Orthopaedics and Traumatology.2009;22(10):747-748.
OBJECTIVETo investigate value of X-ray, CT and MRI for the diagnosis of lumbar spinal stenosis.
METHODSThe data of 130 patients with clinical diagnosis and typical imaging signs of lumbar spinal stenosis were analyzed. The present study included 83 males and 47 females with an average age of 43.5 years (range from 27 to 75 years). CT examination was performed in all patients, routine X-ray examination in 23 patients and routine MRI in 57 patients.
RESULTSThe lumbar spinal stenosis showed at L(3,4) plane in 25 patients, L(4,5) in 48 patients and L5S1 in 57 patients. CT showed hyperostosis of lumbar posterior marginal, vertebral lamina, inferior articular process in 46 patients, hypertrophy of superior and inferior articular processsus in 7 patients, calcification or ossification of ligamentum flavum in 13 patients, vertebral body spondylolisthesis in 5 patients, lateral recess stenosis in 24 patients, and intervertebral foramen stenosis in 35 patients. MRI showed intervertebral disk hernia with disc associated with ligamentum flavum hypertrophy in 23 patients, ligamentum flavum symmetrical hypertrophy in 18 patients,extensive multi-segmental ligamentum flavum hypertrophy in 9 patients,and local ligamentum flavum hypertrophy in 7 patients.
CONCLUSIONThe main cause of secondary lumbar spinal stenosis is degeneration. Traditional X-ray examination has great limitations in diagnosis of lumbar spinal stenosis. CT and MRI have advantages of multi-directional imaging and the high resolution. CT can show well ligament calcification and ossification and other bone change which are showed not well on MRI, so CT is recommended to lumbar spinal stenosis.
Country
China
Publisher
中国中西医结合学会;中国中医研究院
ElectronicLinks
http://www.zggszz.comEditor-in-chief
zggszz@sina.com
Abbreviation
China Journal of Orthopaedics and Traumatology
Vernacular Journal Title
中国骨伤
ISSN
1003-0034
EISSN
Year Approved
2008
Current Indexing Status
Currently Indexed
Start Year
1987
Description
历史沿革【现用刊名：中国骨伤;创刊时间：1987】，该刊被以下数据库收录【CA 化学文摘(美)(2009);Pж(AJ) 文摘杂志(俄)(2009)】，期刊荣誉【中科双奖期刊】。
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