https://scholars.lib.ntu.edu.tw/handle/123456789/479617
標題: | Posterior transthecal approach for repair of cauda equina fibers and ventral dural laceration in lumbar burst fracture: A novel surgical technique | 作者: | ABEL PO-HAO HUANG Chen C.-M. HONG-SHIEE LAI Chou C.-C. Lu D.C. LU-TING KUO Chuang H.-Y. JUI-CHANG TSAI |
公開日期: | 2013 | 卷: | 38 | 期: | 18 | 起(迄)頁: | E1156-E1161 | 來源出版物: | Spine | 摘要: | STUDY DESIGN.: Retrospective descriptive study of an innovative surgical technique for patients with thoracolumbar fracture. OBJECTIVE.: To describe the transthecal approach for patients with thoracolumbar fracture and demonstrate its safety and effectiveness. SUMMARY OF BACKGROUND DATA.: The goals of surgery in patients with thoracolumbar fracture include neural decompression, re-establishing stability, reduction of deformity, and repair of dural laceration and the damaged neural elements. The traditional posterior approach may only accomplish the former 3 goals. METHODS.: Simply opening the dura during the traditional posterior approach enables accomplishment of all the aforementioned goals, which would not be possible through an anterior or posterior approach alone. RESULTS.: We have successfully performed the transthecal approach in 5 patients with thoracolumbar burst fracture with cauda equina fiber injury. Neural decompression, re-establishing stability, reduction of deformity, and repair of dural laceration and the damaged cauda equina fiber were all achieved in these patients. No complications were noted. CONCLUSION.: The transthecal approach can be applied to patients with thoracolumbar burst fracture to achieve neural decompression, re-establishing stability, reduction of deformity, and repair of dural laceration and the damaged cauda equina fiber. This approach may be an alternative to combined (circumferential) surgery. ? 2013 Lippincott Williams & Wilkins. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84883462134&doi=10.1097%2fBRS.0b013e31829e0d6c&partnerID=40&md5=8acdf20cc03deba067d75d3e4f86a51c https://scholars.lib.ntu.edu.tw/handle/123456789/479617 |
ISSN: | 0362-2436 | DOI: | 10.1097/BRS.0b013e31829e0d6c | SDG/關鍵字: | fibrin glue; polypropylene; abdominal pain; adult; anorectal pressure; arthrodesis; article; Barthel index; case report; cauda equina syndrome; computer assisted tomography; consciousness level; decompression surgery; decubitus; female; green stick fracture; hematocrit; human; kidney hemorrhage; kidney injury; laceration; laminectomy; limb weakness; liquorrhea; liver injury; lumbar burst fracture; nephrectomy; nuclear magnetic resonance imaging; paresthesia; patient safety; pneumonia; posterior transthecal approach; priority journal; retroperitoneal hematoma; spine surgery; surgical approach; surgical technique; thoracolumbar fracture; traffic accident; transpedicular screw; ventral dural laceration; wound infection; Adult; Cauda Equina; Dura Mater; Female; Follow-Up Studies; Humans; Lumbar Vertebrae; Male; Middle Aged; Neurosurgical Procedures; Retrospective Studies; Spinal Cord Injuries; Spinal Fractures |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。