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The Effect of Minimally Invasive spinal trauma Surgery on spinal trauma

Journal of Clinical and Nursing Research 2020年第3期4卷 63-66页

作者： Zhiyi Peng Pidu District People's Hospital Chengdu Chengdu 611730China

Objective:To study the effect of minimally invasive spinal trauma surgery on spinal ***:After 60 patients with spinal trauma were selected,the patients in observation group was treated by minimally invasive spinal trauma surgery,while the patients in control group was given the routine ***:After treatment,the observation group improved significantly in operation related indexes,complication rate,pain degree,quality of life,JOA score and 0DI score(Pspinal trauma surgery is effective in the treatment of spinal trauma.

关键词： Minimally invasive spinal trauma surgery spinal trauma

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Clinical Application of Minimally Invasive Surgery in Pain and Complications after spinal trauma

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Journal of Clinical and Nursing Research 2021年第1期5卷 68-71页

作者： Tianhui Liu Xiaoying Gao Jianmin Cui Jinku Zhang Shizhu County People's Hospital Chongqing 409100China

Objective:To study and evaluate the incidence of pain and complications in patients with spinal trauma after minimally invasive ***:The research period was selected from January 2018 to December 2020,and 40 patients with spinal trauma were *** to the random number table scheme,they were divided into the study group and the control *** treatment scheme of the control group was traditional surgery,and the treatment scheme of the study group was minimally invasive *** indicators of the two groups were compared and ***:Compared with the two groups of surgery and postoperative recovery related indicators,the study group had more advantages(Pspinal trauma has significant clinical effect,which can effectively relieve postoperative pain and reduce the incidence of various complications.

关键词： Minimally invasive treatment spinal trauma Pain Complication

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Influence of lesion ratio on diagnostic performance of in-phase/opposed-phase imaging and apparent diffusion coefficient for differentiating acute benign vertebral fractures and metastases

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Chinese Medical Journal 2009年第11期122卷 1293-1299页

作者： LIN Fan LEI Yi LI Yang-bin Department of Radiology the Second People's Hospital of Shenzhen Shenzhen Guangdong 518035 China The Second Affiliated Hospital of Guangzhou Medical College Guangzhou Guangdong 510260 China

Background The usefulness of in-phase/opposed-phase imaging and diffusion weighted imaging （DWI） in differentiating benign and neoplastic vertebral fractures has been described. In this study, we aimed to evaluate the influence of the severity of vertebral damage on the diagnostic performance of these two technologies. Methods Totally 59 patients with 68 acute benign vertebral fractures and 43 patients with 79 vertebral metastases were included in this study. The MR protocol included DWls and sagittal in-phase/opposed-phase gradient recalled sequence. The severity of vertebral damage was expressed by lesion ratio （LR, the ratio of lesion area to vertebral area on the slices of largest abnormal signal area in the Tl-weighted sequence）. Quantitative （signal intensity ratio （SIR） defined as signal intensity （SI） on opposed-phase gradient recalled echo （GRE） images divided by SI on in-phase; apparent diffusion coefficient （ADC） value derived from DWl analysis was performed, the relationships between LR and the measurements of these two technologies were analyzed using linear regression. The covariate-specific receiver operating characteristic （ROC） curves were also fitted to evaluate the influence of LR on the diagnostic performance of ADC and SIR. Results The difference in both SIR and ADC for vertebral metastasis and acute benign vertebral fractures was significant （P 〈0.001）. A positive correlation between the LR and the SIR was found in benign fractures （P 〈0.05）. The severity of vertebral damage had a significant influence on the AUC （area under ROC curve） for SIR （P 〈0.05） but ADC （P 〉0.05）. More severe cases were associated with increased AUC for SIR. Conclusions LR is capable of affecting the diagnostic performances of chemical shift imaging. Thus, when applying these tests to make diagnoses on vertebral fractures, the severity of the vertebral damage should be taken into account. The covariate-specific ROC model is recommended because it substantially improves

关键词： spinal trauma diagnosis magnetic resonance imaging chemical-shift imaging diffusion-weighted imaging

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Gunshot injury to spine:An institutional experience of management and complications from a developing country

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Chinese Journal of traumatology 2020年第6期23卷 324-328页

作者： Mir Ibrahim Sajid Bushra Ahmad Shaikh Danish Mahmood Aneela Darbar Medical College Aga Khan UniversityKarachi74880Pakistan Department of Neurosurgery Aga Khan University HospitalKarachi74880Pakistan

Purpose Gunshot wounds are the second leading cause of spinal cord *** intervention for gunshot injury to the spine carries a high rate of *** is a scarcity of data on civilian gunshot injuries to the spine in *** 60 cases over the last 10 years have been recoded,with unusual presentation and neurological *** it is imperative to fill this gap in data,by reviewing cases of civilian gunshot injuries to spine presenting at a tertiary care hospital(Aga Khan University Hospital,Karachi).Methods This is a retrospective cohort *** of all ages who presented to the emergency department of Aga Khan University Hospital,with gunshot injuries to spine between January 2005 and December 2016 were included in the *** were collected on neurological status(American spinal Injury Association score was used for the initial and follow-up neurological assessment),extent of cord transection,motor and sensory *** patients were further grouped into those with cord transection,and those with fractures of the bony spine but an intact spinal *** patients were then followed and the outcomes were *** A total of 40 patients were *** mean±SD of patients age was(30.9±9.5)*** the 40 patients with gunshot wounds,31 had the medical imaging performed at the facility,and hence they were included in this *** remaining 9 patients were excluded from this additional *** patients were managed surgically and 27 patients underwent the conservative *** mean±SD of follow-up was(8.7±7.2)*** our study,the thoracic spine was the most commonly injured region in gunshot *** the 31 patients with medical imaging performed at our institute,17(54.8%)had cord transection,of whom 8(47%)ultimately developed *** The prognosis of gunshot injuries to the spine can be varied depending on whether the spinal cord is intact or ***

关键词： Hospital management Cord transection Prognostic predictors Gunshot injury spinal trauma

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