前腰

Because of the complications of abdominal organs injury or retrograde ejaculation after ALIF, and the high risk of nerve injury after PLIF, these two surgeries were reduce to perform in clinic nowadays. While TLIF has be consider to have less risk of injuries of nerve root, cauda equine, dura matar, and less incidence of lumbar unsteadiness and spondylolithesis.

研究背景腰椎椎体间融合术是目前治疗椎间盘源性下腰痛、腰椎滑脱症、腰椎不稳症等原因引起的下腰痛效果较为满意的一种腰椎融合手术方式，其主要分为前路椎体间融合术、后路椎体间融合术以及经关节突入路椎体间融合术。

Ft Interior Volume Rear: 38.0 cu. ft Luggage capacity: 13.7 cu. ft Performance 0-50 mph (0-80 kmh): n/a 0-60 mph (Manual / Auto): 7.8 / 9.0 sec (7.8 sec / 9.6 sec. quattro) 1/4 Mile: n/a Top estimated speed: 130 mph (203 kmh)- Electronically limited for North America Fuel Economy City (Manual/Auto): 19 / 18 mpg (19 / 18 mpg quattro) Highway (Manual/Auto): 27 / 28 mpg (26 / 27 mpg quattro) Combined (Manual/Auto): 23 / 23 mpg (22 / 21 mpg quattro) Standard Features Comfort/Convenience:· Electronic automatic climate control system, including air conditioning · Power steel sunroof · Power windows with one-touch down, lock-out for rear windows, pinch protection and one-touch up for front windows · Retained accessory power for windows and sunroof · Tinted glass, banded windshield · Power rack and pinion steering · Convenience close feature for windows and optional sunroof · Electronic cruise control with resume and speed up features · Dual power mirrors with defog feature · Electric rear window defogger · Power central locking system including trunk and fuel door; selective unlocking · Heat ducts to rear seat area · Illuminated glove box, trunk, lighter/ashtrays, engine compartment · Ignition key with integral light · Dual illuminated vanity mirrors · 4-passenger assist handles · Time delay interior light · Anti-theft vehicle alarm system · Cupholders · Fuel cap hanger feature Interior/Seating and trim:· 8-way power front seats with manual lumbar adjustment · Front seat map pockets · Facette weave cloth · Leather-wrapped steering wheel · Fold down rear-center armrest with storage container · Rear center armrest · Full length center console with forward storage bin, including cupholders · 60/40 split/fold rear seat with locking seat back · Genuine burled walnut wood trim for dash, door panels and console · Front and rear carpet floor mats Instrumentation:· Backlit instrument cluster, red illumination · Tachometer and electric speedometer · Analog clock · Outside temperature gauge · Trip odometer · Coolant temperature gauge · Oil temperature gauge · Voltmeter · Intermittent wiper mode Audio Systems:· AM/FM stereo cassette radio with anti-theft · 6-speaker sound package · Rear window antenna · Preparation wiring for CD changer · Preparation for cellular phone Exterior:· Aerodynamic 3-way halogen headlights · 5 mph bumpers, painted in body color · Body color, protective side moldings · Retractable headlight washer system · Body color, flush door handles · Body color, outside mirror: right convex, left side flat · Front fog lights · Rear fog light (integrated with left light cluster) Safety:· Anti-lock brake system · Driver and front passenger air bag supplemental restraints · Automatic self-tensioning front seat belt system · Rear outboard 3-point seat belts with comfort adjustment · Rear center lap safety belt with retractor · Child-safety rear door locks

1 / 4 mile ：无/ 1 顶端估计速度：一百三十零英里每小时-电子有限公司，为北美洲燃油经济性市： 19 / 18哩（ 19 / 18哩quattro的）公路： 27 / 28哩（ 26 / 27哩quattro的）结合： 23 / 23哩（ 22 / 21哩quattro的）标准功能舒适/方便：·电子自动气候控制系统，包括空调·电源钢天窗·电源的Windows与一触式下降，锁定为后方的Windows ，夹保护和一触式，为前线的Windows ·保留配件权力for Windows和天窗·有色玻璃，带状挡风玻璃·电源机架和齿轮督导·方便接近的特点，用于Windows和可选的天窗·电子巡航控制与恢复，并加快特色·双电源镜与defog功能·电动后窗defogger ·电源中央门锁系统，包括主干和燃料的大门；选择性解锁·热导管后座区·照明手套箱，躯干，打火机/烟灰缸，引擎·点火的关键与积分光·双发亮的虚荣心镜· 4名乘客协助处理·时间延迟内部轻·反盗窃车辆报警系统· cupholders ·燃油上限吊架功能内部/座位和修剪：· 8路的权力前排座椅手动腰调整·前座地图的口袋· facette编织布·皮革包裹方向盘·折叠后方中心扶手与储藏容器·后方中心扶手·充分的长度中心控制台与储存着斌，包括cupholders · 60/40分裂/倍后座锁定椅背·真正的burled核桃木材装饰为短跑，车门面板和控制台·前方和后方，地毯，地板垫仪器仪表：·背光文书集群，红色照明·转速表和电动里程表·模拟时钟·室外温度衡量·行程里程表·冷却液温度衡量·油温计·伏特·间歇雨刮模式音频系统：·调幅/调频立体声收音机，镭射与反盗窃· 6喇叭声包·后窗天线·准备布线的CD换·准备蜂窝电话外墙：·气动3路卤素头灯·五英里每小时保险杠，描绘了在体色·车身颜色，保护方成型·可伸缩的头灯清洗系统·车身颜色，冲水门把手·车身颜色，外镜：右凸，左侧单位·前雾灯·后方雾轻安全：·汽车防抱死制动系统·司机及前座乘客安全气囊的补充约束·自动自我拉紧前座安全带系统·后方的舷外3点安全带与舒适性调整·后方中心濸安全带与retractor ·儿童安全后门的锁

Appraised the clinical effect of the flavone of rhizome drynania on Senile Osteoporosis, according to the dynamic observation on integrative scores of lumbodorsal pain and lumbodynia,"VAS section grading method" on lumbodynia,"Barthel index rating method" on ADL, detected BMD on anterior-posterior position lumbar2~4 vertebra body and proximate of femur including neck/ward/troch, and determined the index of bone transition including BGP/PINP/ICTP through the radioimmunity method before and after treated half a year, then contrast intragroup and selfgroup. Depending on the standard of curative effect, contrast the difference of curative effect between two groups.

采用随机对照的方法，分为治疗组36例，对照组34例，依据对腰背痛及腰痛综合评分进行动态观察；依据"疼痛VAS线段分级法"对腰背痛（静止痛、翻身痛、久坐痛、起身痛、弯腰痛、步行痛、睡眠痛、叩击痛、压痛）进行量化动态观察；依据"Barthel指数评定法"对老年性骨质疏松症日常生活活动能力进行观察；采用双能X线骨密度仪对腰椎(L2-L4)、股骨近端各部位：股骨颈、股骨三角区、股骨粗隆进行骨密度定量检测；应用放射免疫法对骨转换指标进行测定，骨形成指标：骨钙素、Ⅰ型前胶原氨基端前肽；骨吸收指标：Ⅰ型胶原交联羧基末端肽等，评价骨碎补总黄酮治疗老年性骨质疏松症的临床效果。

Result: Scoliosis was identified in 58 cases with Marfan syndrome (38 males and 20 females), the prevalence rate was 42.03%, male-female sex ratio was 1.18:1, 6 cases were in younger than 10-year-old group. 12 cases were in 11~20-year-old group, 19 cases were in 21~30-year-old group, 11 cases were in 31~40-year-old group, 7 cases were in 41~50-year-old group, 3 cases were in 51~60-year-old group. Mean magnitude of Cobb angle in coronal plane was 26.8°±27.8°, the types of scoliosis curve included thoracic curve (36 cases), thoracolumbar curve (11 cases), lumbar curve (2 cases), double curve (6 cases) and triple curve (3 cases), apex vertebraes were convex to the right side among single curves in 38 cases while 11 cases were convex to the left side. Mean magnitude of kyphosis in sagittal plane was 14.3°±13.2°, 5 patients had thoracic lordosis and 40 patients had hypokyphosis and 12 patients had normal kyphosis.

结果：58例(42.03%)患者合并脊柱侧凸，男38例，女20例，男女患病率比例为1.18：1，其中≤10岁6例，11~20岁12例，21~30岁19例，31~40岁11例，41~50岁7例，51~60岁3例；平均冠状面Cobb角为26.8°±27.8°；胸弯36例，胸腰弯11例，腰弯2例，双弯6例，三弯3例；单弯中顶椎凸向右侧38例，凸向左侧11例；矢状面胸椎后凸平均为14.3°±13.2°，其中胸椎前凸5例，胸椎后凸不足40例，胸椎正常后凸12例，仅1例胸椎后凸45°；11例患者冠状面Cobb角＞40°，平均年龄15.9岁。

Results: The thickness of intertransverse ligament was about 0.60~1.39mm.

结果：横突间韧带厚度0.60~1.39mm；L(下标 3-5)节段动脉前支及伴行静脉90%以上位于相邻横突间韧带腹侧上1/2处，横突间韧带背侧中1/3处有一恒定节段动脉分支；腰神经前支与矢状面夹角18.90°~39.20°，下位横突的副突处距前方走行腰神经前支距离为5.63~8.05mm，椎弓峡部侧缘至腰神经前支的距离为1.73~3.64mm。

Appraised the clinical effect of the flavone of rhizome drynania on Senile Osteoporosis, according to the dynamic observation on integrative scores of lumbodorsal pain and lumbodynia,"VAS section grading method" on lumbodynia,"Barthel index rating method" on ADL, detected BMD on anterior-posterior position lumbar2~4 vertebra body and proximate of femur including neck/ward/troch, and determined the index of bone transition including BGP/PINP/ICTP through the radioimmunity method before and after treated half a year, then contrast intragroup and selfgroup. Depending on the standard of curative effect, contrast the difference of curative effect between two groups.

采用随机对照的方法，分为治疗组36例，对照组34例，依据对腰背痛及腰痛综合评分进行动态观察；依据&疼痛VAS线段分级法&对腰背痛（静止痛、翻身痛、久坐痛、起身痛、弯腰痛、步行痛、睡眠痛、叩击痛、压痛）进行量化动态观察；依据&Barthel指数评定法&对老年性骨质疏松症日常生活活动能力进行观察；采用双能X线骨密度仪对腰椎(L2-L4)、股骨近端各部位：股骨颈、股骨三角区、股骨粗隆进行骨密度定量检测；应用放射免疫法对骨转换指标进行测定，骨形成指标：骨钙素、Ⅰ型前胶原氨基端前肽；骨吸收指标：Ⅰ型胶原交联羧基末端肽等，评价骨碎补总黄酮治疗老年性骨质疏松症的临床效果。

We evaluated the sufferer's clinical curative effect before the second treatment, third treatment and in the 21th day with evaluate criteria.painful degree was recorded respectively with the visual analog score and lumbodynia and skelalgia score before each time of treatment and 7st day after the last treatment;detected IgG and IgM from blood serum before the first treatment and 7st day after the last treatmen.

依据临床疗效判定标准，分别在第2次治疗前、第3次治疗前和第21天评价患者的临床疗效；应用腰腿痛评分量表和VAS疼痛评分量表分别在每次治疗前和最后一次治疗后第7天对患者进行疼痛评分；并于第一次治疗前和最后一次治疗后第7天分别检测患者血清中IgG、IgM的含量。

The observation results of "VAS section grading method" displayed, the lumbodynia showed midrange pain while rest/prolonged sitting/walking, and heavy-range pain while to turn the body over/to get up/bend from the waist/tenderness/percussion pain before treated, is especial significance while /to turn the body over/ percussion pain.A piece of patients' lumbodynia impacted their sleep.

&疼痛VAS线段分级法&观察结果显示，治疗前静止时腰背痛、久坐时腰背痛、步行时腰背痛均呈现中度疼痛，翻身时腰背痛、起身时腰背痛、弯腰时腰背痛、腰背压痛与叩击痛多表现重度疼痛，而以弯腰时腰背痛、腰背叩击痛尤为显著，部分病人腰背痛对睡眠会有一定影响。

Lumbarsacral junction tuberculosis treated with this surgical technique can achieve a high satisfactory rate with restoring the spinal stabil ity, arresting the disease early, providing early fusion, correcting the kyphosis and preventing progression of kyphosis particularly if lumbosacral spine tuberculosis is associated with sinus or preoperative diagnosis cannot exclude suppurative spondyl itis.

血常规、血沉、肝肾功正常9 例，2 例肝转氨酶升高。结论前路彻底病灶清除、植骨结合后路器械固定治疗腰骶段脊柱结核具有安全、操作简便、利于恢复脊柱的稳定性、提高植骨融合率、纠正和预防后凸畸形的优点，适用于腰骶段脊柱结核伴窦道及术前诊断尚不能排除化脓性脊椎炎者。

Result:(1) The max supporting weight of saddle-backed waist splint is 90 kg in the bed exercise, applicable to people who have spine length 73cm~67cm( about body height 178cm~165cm)(2) the height of the gas filled pillow is 5cm~15cm (3) The height of the gas filled pillow should be adjusted according to different patient (4) the press on the abdomen deliver by front part of saddle-backed waist splint is 3336 kpa; Standard piece of waist line is 94cm~70cm, elastic force is 180N .

结果：﹙1﹚鞍式腰托在卧床锻炼时的最大承重量为90㎏，适用脊柱长度为 73 ㎝67 ㎝（约身高178 ㎝165 ㎝）。﹙2﹚充气垫枕的高度为5㎝15㎝。﹙3﹚针对不同病人的身高﹐应适当的调整充气垫枕的高度以及指导锻炼时的拉伸高度。﹙4﹚下地后鞍式腰托前板能给腹部压力为3336kpa；标准件的弹性腰围为64㎝ 90㎝﹑弹性力为180N。结论：鞍式腰托在通过力学测试以及临床应用﹐已基本符合脊柱胸腰段（T11L2）椎体屈曲型稳定性压缩骨折的复位要求，具有简便安全而有效的整复与固定作用。具有较强的实用性，值得进一步研究开发。

In the negative and interrogative forms, of course, this is identical to the non-emphatic forms.

。但是，在否定句或疑问句里，这种带有"do"的方法表达的效果却没有什么强调的意思。

Go down on one's knees;kneel down

屈膝跪下。。。下跪祈祷