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OBJECTIVE: To introduce a method to treat kyphosis with universal spine system and to evaluate its clinical effect.

目的 观察一次性多平面全脊柱截骨配合通用脊柱内固定系统内固定治疗脊柱后凸的疗效。

But because some chiropractors who treat children diagnose abnormal curvatures that don't actually exist, you should have your daughter checked by an orthopedist.

有些整脊师说能给孩子治疗脊柱侧弯,可其实孩子的脊柱没有问题。你女儿的脊柱有没有侧弯,一定要找骨科医生看一看。

But because some chiropractors who treat children diagnose abnormal curvatures that dont actually exist, you should have your daughter checked by an orthopedist.

有些整脊师说能给孩子治疗脊柱侧弯,可其实孩子的脊柱没有问题。你女儿的脊柱有没有侧弯,一定要找骨科医生看一看。

2The spine fracture model is a type of instability spine model, it is satisfacted for the test. The new PETF can offer good three-dimensional stabilization to instability fracture spine.it has clinical feasibility . [3]To be a minimally-invasive surgical procedure ,the PETF assistanted microendoscopy can combine decompression and reduction with external fixation for the injuried vertebral colunm without segments fusion.

(1)骨折模型B组是不稳定性骨折模型,满足实验的要求,新型脊柱外固定器能为不稳定性骨折脊柱提供良好的三维稳定,具有临床可行性;(2)轴向压缩实验A组、C组和D组之间的差异均具有显著统计学意义,说明单纯新型脊柱外固定器是一种弹性固定,抗压刚度不够,但新型脊柱外固定器结合PVP术后抗压能力明显,但较正常标本仍有一定的差距,手术后短期内有必要适当腰部支柱保护;(3)新型脊柱外固定器联合MED和PVP术治疗胸腰椎骨折的微创技术能减轻病人的痛苦、达到胸腰椎骨折的治疗目的和效果,并具有非融合性固定的特点,具有较大的临床推广应用价值。

3To introduce a minimally-invasive technique of a new percutanous external spinal fixation assistanted minimally-invasive surgical procedure treating thoralumbar fracture and analyse its clinic applicable area and value. [1]According to advantage of spine external transpedicular fixation technique and limitation of traditional percutanous external transpedicular fixation,design a new percutanous external transpedicular fixation.

(1)根据脊柱外固定技术的优点,传统脊柱外固定器的不足自行研制一套新型脊柱外固定器(WS-1型);(2)取7具新鲜小牛腰椎标本,自制实验不稳定性骨折模型,把实验分成正常A组、骨折模型B组、新型脊柱外固定器固定C组、新型脊柱外固定器固定联合PVP技术D组,分别按顺序测试四组的三维稳定性,并测试A组、C组与D组在300N轴向压缩实验,再行统计学分析比较;(3)应用新型脊柱外固定器联合椎间盘镜微创椎管减压技术和PVP技术手术治疗胸腰椎骨折,病例选择:本组病例共69例,年龄自10岁-70岁,平均年龄56.3岁。

We present a retrospective clinical study of 23 patients with MTSUTR treated by anterior decompression, strut autografting, posterior instrumentation, and fusion.

目的 上胸椎多节段脊柱结核文献中少有报道,我们对23例上胸椎多节段脊柱结核进行了前路减压自体骨支撑植骨、后路内固定,前后方融合,并对其进行了回顾性临床研究,以平价这一手术方法对上胸椎多节段脊柱结核的临床疗效。

Objective:To investigate the efficacy of spinal orthosis combinated with orthopedic gymnastics in treating patients with idiopathic scoliosis.

目的:探讨脊柱矫形器配合矫正体操治疗特发性脊柱侧弯患者的疗效。方法:40例特发性脊柱侧弯患儿。

Six months later, compare the therapeutic effect of two groups, body function, activity index number of pathogenetic condition, total self-assessment, rachialgia, rachiodynia rhachitis, activity of thoracic skeleton, schober, distance between fingers and ground, antisternum hypsokinesis, ESR, C reactive protein have statistics difference, others have no statistics difference. Conclusion: Two rattan mixture has the certain therapeutic effect of theating Ankylosing Spondylitis.

治疗6个月后,二藤合剂组与柳氮磺吡啶组比较,患者躯体功能、病情活动指数、总体自我评价、脊柱痛、脊柱炎症、胸廓活动度、Schober、指地距、脊柱后仰、血沉、C反应蛋白的改善有统计学差异(P<0.05),余观察指标两组间比较无统计学差异。

Methods: 28 rabbits were divided into 3 groups (4 animals for every group). All animals were dissected to keep the spine and the pelvis, hip joint, the upper part of the femur, with the anterior and posterior longitudinal ligaments, intervertebral disk and psoas muscle, erector spinae, and supraspinal ligament attached to it.

取家兔12只,分3组,每组4只,解剖后保留枢椎以下完整之脊柱及骨盆、髋关节、上段股骨,不损伤脊柱前、后纵韧带、椎间盘及所附着之腰大肌,保留脊柱背侧的竖脊肌、棘上韧带,置于生物力学拉伸测试仪(日本岛津制作所产AGS-J系列)。

Through simulation of the real process of thomcolumbar burst fracture and use of modem dynamics techniques, the present study was (1) to investigate the kinetic relationship between structural damage and impact energy absorption and dynamics mechanism of thoracolumbar burst fracture by quantitative analysis of various injured segments;(2) to explore the instability mechanism of L1 vertebral burst fracture and its injury threshold by three-dimensional analysis of the injured segment with stereophotogrammetry in combination of transient physical parameters, anatomy and image;(3) to explore the corresponding relationships between impact energy, geometry parameters and biomechanics by geometry and biomechanical analysis of thoracolumbar burst fracture, which may provide an objective standard for evaluation of spinal injury severity and experimental evidence for adoption of biomechanical treatment in clinic;(4) to evaluate the fixation effect of different instruments and the effect of intervertebral bone graft on segment fixation by analysis of the threedimensional stability of different internal fixation instruments and their decompression of the spinal canal, which may provide experimental evidence for therapeutical selection for thoracolumbar burst fracture in future; and finally to investigate the effect of various instrument fixation on dynamical characteristics by comparison and quantitative analysis of frequency and amplitude responses, which may provide certain theories and experimental evidence for application of vibration test to judge the stability of the spine.

本研究从胸腰段脊柱爆裂骨折发生的实际过程出发,以现代动力学检测及计算机多通道高性能数据采集分析系统等高新技术为基础,实时量化分析损伤节段的工程参数,揭示了结构破坏与能量吸收的变化规律,探讨了胸腰段脊柱爆裂骨折的瞬态损伤机制;利用三维立体摄像技术,对不同损伤程度的节段进行三维运动分析,结合瞬态物理参数、影像学和病理解剖,明确了〓椎体爆裂骨折的失稳机制及损伤阈值;通过对胸腰椎爆裂骨折的几何学变化及生物力学分析,明确了撞击能量与几何参数、几何参数与生物力学的相应关系,为评判脊柱损伤程度提供了客观标准,为治疗中采取适宜的生物力学方法提供了实验依据;通过对比分析不同内固定器械的三维稳定性和对椎管的减压作用,评价不同器械的复位固定作用,同时比较椎体间植骨对节段固定作用的影响,为今后临床胸腰段脊柱爆裂骨折的治疗选择提供依据;利用振动测试与分析技术,比较及量化分析了不同致伤状况的频幅响应特征,比较分析了各种器械固定对动力学特性的影响,为今后临床建立基于振动测试与分析技术判断脊柱稳定性的诊断方法,提供了一定的理论和实验依据。

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