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骶管减压及腰髂固定治疗DenisⅢ型骶骨骨折伴腰盆分离 被引量:3

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摘要 骶骨骨折并非罕见,目前对DenisⅠ、Ⅱ型骨折通常采用骶髂螺钉、骶骨棒、锁定加压钢板及三角固定等。对于移位明显、神经损伤严重且存在腰盆分离的DenisⅢ型骨折,治疗则更为棘手。骶骨“U”形和“H”形骨折是DenisⅢ型骨折的特殊形式,是指骶骨横形骨折同时合并双侧经骶孔纵形骨折,此类骨折导致腰椎及骶骨上部中央骨折块从骨盆环脱离,即“腰盆分离”,临床并不多见。我科从2000年3月至2007年1月共收治此类骨折患者9例,均采用切开复位、骶管减压及腰髂固定治疗,取得了满意的效果。现报告如下。
出处 《中华创伤杂志》 CAS CSCD 北大核心 2008年第12期1018-1019,共2页 Chinese Journal of Trauma
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参考文献4

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  • 2Schildhauer TA, Ledoux WR, Chapman JR, et al. Triangular osteosynthesis and iliosacral screw fixation for unstable sacral fractures: a cadaveric and biomechanical evaluation under cyclic. J Orthop Trauma, 2003,17(1) :22 -31.
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同被引文献23

  • 1张文捷,张新武,任先军,王建忠.不稳定骨盆骨折的外固定架确定性处理[J].实用医学杂志,2006,22(4):422-424. 被引量:10
  • 2赵立力,张英泽.前后挤压型骶骨Ⅱ区骨折与骶丛神经损伤的关系[J].中华创伤杂志,2006,22(12):930-933. 被引量:5
  • 3郑召民,吕游,陈辉.脊柱-骨盆融合术的适应证与外科技术进展[J].中华外科杂志,2007,45(8):568-570. 被引量:8
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  • 7Bottlang M,Krieg JC,Mohr M,et al.Emergent management of pelvic ring fractures with use of circumferential compression[J].J Bone Joint Surg Am,2002,84-A(Suppl 2):43-47.
  • 8Schildhauer TA,Ledoux WR,Chapman JR,et al.Triangular osteosynthesis and iliosacral screw fixation for unstable sacral fractures:a cadaveric and biomechanical evaluation under cyclic[J].J Orthop Trauma,2003,17(1):22-31.
  • 9Bellabarba C,Schildhauer TA,Vaccaro AR,et al.Complications associated with surgical stabilization of high-grade sacral fracture dislocations with spino-pelvic instability[J].Spine,2006,31(11 Suppl):S80-S88.
  • 10Dickson KF,Matta JM.Skeletal deformity after anterior external fixation of the pelvis[J].J Orthop Trauma,2009,23(5):327-332.

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