Abstract:
:Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures that were undiagnosed on admission and before femoral fracture stabilization. A neurologic deficit persisted in four patients, and the possible contribution of femoral intramedullary rodding with positioning and traction must be considered. A high index of suspicion for thoracic and lumbar fractures is required when evaluating the high velocity trauma patient with a femoral shaft fracture. Presence of the thoracic or lumbar fracture may require initial spine stabilization or alter the method of femoral fracture treatment.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Rupp RE,Ebraheim NA,Chrissos MG,Jackson WTdoi
10.1097/00007632-199403000-00011subject
Has Abstractpub_date
1994-03-01 00:00:00pages
556-60issue
5eissn
0362-2436issn
1528-1159journal_volume
19pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:In silico finite element study. OBJECTIVE:The aim of this study was to evaluate the effect of six construct factors on apical rod strain in an in silico pedicle subtraction osteotomy (PSO) model: traditional inline and alternative Ames-Deviren-Gupta (ADG) multi-rod techniques, number of accessory rods (th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003723
更新日期:2021-01-01 00:00:00
abstract:STUDY DESIGN:Analysis of spine-related patient education materials (PEMs) from subspecialty websites. OBJECTIVE:The aim of this study was to assess the readability of spine-related PEMs and compare to readability data from 2008. SUMMARY OF BACKGROUND DATA:Many spine patients use the Internet for health information. S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001446
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200203010-00020
更新日期:2002-03-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To categorize published evidence systematically for lumbar fusion for chronic low back pain (LBP) in order to provide an updated and comprehensive analysis of the clinical outcomes. SUMMARY OF BACKGROUND DATA:Despite a large number of publications of outcomes of sp...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182877f11
更新日期:2013-04-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To perform an evidence-based synthesis of the literature assessing the cost-effectiveness of surgery for patients with symptomatic cervical degenerative disc disease (DDD). SUMMARY OF BACKGROUND DATA:Cervical DDD is a common cause of clinical syndromes such as neck pain, cerv...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000000547
更新日期:2014-10-15 00:00:00
abstract:STUDY DESIGN:A retrospective radiographic study. OBJECTIVE:To investigate which preoperative radiographic parameters best correlate with the angulation and translation of the lowest instrumented vertebra (LIV) and global coronal balance after posterior spinal pedicle screw fixation for thoracolumbar/lumbar (TL/L) adol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182091fba
更新日期:2011-09-15 00:00:00
abstract:STUDY DESIGN:An in vitro biomechanical study. OBJECTIVE:To perform in vitro biomechanical testing on a lumbar spine using a 6-degree-of-freedom machine. To compare the range of motion (ROM), intradiscal pressure, and facet force of different 3-level dynamic stabilization constructs with traditional rigid constructs. T...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a6a4ec
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:Twenty-seven patients underwent instrumented transforaminal lumbar interbody fusion (TLIF) procedures using bioresorbable implants as interbody spacers. The greater than 2-year clinical and radiographic results of this series are presented along with as a review of relevant preclinical and preliminary clin...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000175185.46433.7a
更新日期:2005-09-01 00:00:00
abstract:STUDY DESIGN:Twenty-five formaldehyde solution-fixed, paraffin-embedded tissue blocks from vertebral biopsy specimen materials with presumptive diagnosis of tuberculous spondylitis and nonspecific vertebral osteomyelitis were studied. OBJECTIVES:To evaluate the sensitivity and specificity of polymerase chain reaction ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199609010-00011
更新日期:1996-09-01 00:00:00
abstract:STUDY DESIGN:Forty patients were enrolled in 2 FDA-approved pilot Investigational Device Exemption (IDE) studies using Cortoss for the treatment of vertebral compression fractures (VCF). Twenty patients were treated at 3 centers, using vertebroplasty (VP) and 20 patients were treated at 5 centers, using kyphoplasty (KP...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181dcda75
更新日期:2010-09-15 00:00:00
abstract::Camptocormia is a rare low-back disorder involving an abnormal posture of extreme forward flexion. Most reports of camptocormia were of male military recruits during World Wars I and II. The differential diagnosis of the postural deformity, the psychologic formulation of camptocormia as a conversion disorder, and the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198505000-00006
更新日期:1985-05-01 00:00:00
abstract:STUDY DESIGN:A matched cohort analysis of long adult deformity fusions according to distal fusion level (L5 vs. S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis. SUMMARY OF BACKGROUND DATA:For adul...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000138272.54896.33
更新日期:2004-09-15 00:00:00
abstract:STUDY DESIGN:A review of controlled trials. OBJECTIVES:To determine which interventions are used to prevent back and neck pain problems as well as what the evidence is for their utility. SUMMARY OF BACKGROUND DATA:Given the difficulty in successfully treating long-term back and neck pain problems, there has been a ca...
journal_title:Spine
pub_type: 临床试验,杂志文章,评审
doi:10.1097/00007632-200104010-00019
更新日期:2001-04-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To evaluate the association between degree of signal changes in the alar ligaments on MRI with respect to pain and disability. SUMMARY OF BACKGROUND DATA:Conflicting evidence exists whether areas of high-signal intensity in the alar ligaments on MRI are associated with pa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ff1dde
更新日期:2011-06-01 00:00:00
abstract:STUDY DESIGN:A review of 60 surgical cases for correction of scoliosis, during which neuromotor evoked potentials and somatosensory evoked potentials were monitored. OBJECTIVES:To determine the validity and reliability of intraoperative neuromotor evoked potential monitoring in cases of scoliosis, where damage to the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199910010-00012
更新日期:1999-10-01 00:00:00
abstract:STUDY DESIGN:Prospective multicenter observation. OBJECTIVE:To determine the validity of 3 commercially available at recording thoracic-lumbar-sacral orthosis (TLSO) wearing time of children with spinal cord injury (SCI) and to assess each monitor's function during daily activities. SUMMARY OF BACKGROUND DATA:A major...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e318178864e
更新日期:2008-06-15 00:00:00
abstract:STUDY DESIGN:This study compared isokinetic and non-dynamometric tests for their correlation with subjective low back pain symptoms. METHODS:A total of 185 patients with chronic low back pain were examined. RESULTS:The repetitive arch-up and sit-up tests correlated significantly with pain and disability (Million inde...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409000-00017
更新日期:1994-09-01 00:00:00
abstract:STUDY DESIGN:Survey. OBJECTIVE:The purpose of this research was to help determine whether sedation is indicated before lumbar and cervical interventional pain management procedures, and additionally, to determine whether benzodiazepams are effective at controlling anxiety for these procedures. SUMMARY OF BACKGROUND D...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31815b7e9f
更新日期:2007-12-01 00:00:00
abstract:STUDY DESIGN:A case report of a patient who survived a traumatic disassociation of both atlanto-occipital and atlantoaxial joints. OBJECTIVE.: To describe a rare case of concurrent atlanto-occipital and atlantoaxial dislocation with a review of the related literature regarding occipitocervical dislocation. SUMMARY OF ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318182272a
更新日期:2008-08-15 00:00:00
abstract::In 1990 the authors modified the Robinson anterior cervical interbody fusion technique by burring the endplates to expose subchondral bone. The authors compared 31 patients having the standard technique and 29 patients having the modified technique to evaluate 1) setting of the bone graft, 2) kyphotic angulation, 3) p...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1994-03-15 00:00:00
abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To evaluate the accuracy of screw fixation using intraoperative three-dimensional fluoroscopy-based navigation (ITFN) and to assess the clinical outcomes of this treatment regimen. SUMMARY OF BACKGROUND DATA:The surgical management of symptomatic os odontoideum poses ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182578fd8
更新日期:2012-10-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort analysis. OBJECTIVE:The aim of this study was to assess whether duration of symptoms (DOS) has an effect on clinical outcomes in patients undergoing lumbar decompression. SUMMARY OF BACKGROUND DATA:The success of surgical interventions for lumbar spinal stenosis varies depending on...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002818
更新日期:2019-03-01 00:00:00
abstract:STUDY DESIGN:A new magnetic resonance image analysis method is proposed which is based on the definition of the borders of the vertebral bodies adjacent to the intervertebral disc and their varying relationships. The reproducibility of this method (the so-called "centroid" method) was assessed by consecutive measuremen...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603010-00006
更新日期:1996-03-01 00:00:00
abstract:STUDY DESIGN:Finite element and in vitro study. OBJECTIVE:Finite element calculations to delineate a dynamic fixator and confirmation with an in vitro experiment. SUMMARY AND BACKGROUND DATA:In the last few years, there was a paradigm shift from rigid to dynamic fixation of spinal segments. However, some so-called dy...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181920e9c
更新日期:2009-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective analysis of 10 patients with pancreatitis after traumatic spinal cord injury. OBJECTIVES:To determine the conditions leading to nontraumatic pancreatitis in spinal cord injury. SUMMARY OF BACKGROUND DATA:Little is known in the literature about pancreatitis after spinal cord injury. A few ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200205010-00024
更新日期:2002-05-01 00:00:00
abstract:STUDY DESIGN:This study was designed to investigate prospectively a series of patients with syringomyelia-Chiari I complex operated on by a minimally invasive procedure. OBJECTIVE:The objective was to determine whether a relatively simple and low-risk osteo-dural decompression would obtain as good clinico-radiological...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199512000-00001
更新日期:1995-12-01 00:00:00
abstract::This prospective study of 185 patients undergoing first-time lumbar surgery compared how accurately clinical criteria and water-soluble myelography predicted the operative findings. Clinical diagnostic criteria of nerve root pain, root irritation signs, and neurologic signs of root compression supplemented by myelogra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198606000-00007
更新日期:1986-06-01 00:00:00
abstract:STUDY DESIGN:A prospective, within-patient comparison of two methods for functional radiography of lumbar spine with consecutive patients. OBJECTIVE:To evaluate the usefulness of traction-compression radiography compared with conventional flexion-extension radiography in diagnosis of lumbar spinal instability. SUMMAR...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199701150-00012
更新日期:1997-01-15 00:00:00
abstract:STUDY DESIGN:A retrospective cohort analysis. OBJECTIVE:The aim of this study was to determine if there is a difference in the revision rate in patients who undergo a multilevel posterior cervical fusions ending at C7, T1, or T2-T4. SUMMARY OF BACKGROUND DATA:Multilevel posterior cervical decompression and fusion is ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001864
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to analyze the nature and cause of spinal disabilities among military and civil aircrew in India. SUMMARY OF BACKGROUND DATA:Studies suggest that military aircrew may be more prone than nonaviators to develop spinal disabilities. An in-depth analysis of such disabilities can ena...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817bb9aa
更新日期:2008-12-01 00:00:00