Abstract:
STUDY DESIGN:Retrospective study. OBJECTIVES:To examine the value of operative fracture stabilization by means of the ring fixator in fractures of the lower extremity in the presence of chronic paralysis caused by transverse lesions of the spinal cord. SETTING:A specialist center for the treatment of spinal cord injuries in Germany. METHODS:Clinical examination of the lower extremities with side-for-side comparison, radiological investigation of the fractures, patient survey. PATIENTS:In 21 patients with chronic spinal cord lesions, 22 fractures of the lower extremities were treated with the ring fixator. RESULTS:At follow-up a mean of 41.5 months after fracture healing it could be shown that movement in the knee and ankle joints on the same side as the fracture was not restricted by more than 10 degrees in any of our patients. No losses affecting activities of daily living were reported, and 19 of the 21 patients were satisfied with the result achieved with this technique. After four of the 22 operations there were complications. Malalignments were visible radiologically following five of the fractures. CONCLUSIONS:In osteoporosis-induced fractures of the lower extremities in chronically paraplegic and tetraplegic patients, fracture stabilization with the ring fixator, with fewer complications and better results in terms of joint mobility, is superior to the conservative treatment so far given preference in the literature. It should be offered as an alternative to conservative treatment in the case of pathological fractures.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Meiners T,Keil M,Flieger R,Abel Rdoi
10.1038/sj.sc.3101397subject
Has Abstractpub_date
2003-03-01 00:00:00pages
172-7issue
3eissn
1362-4393issn
1476-5624pii
3101397journal_volume
41pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract:STUDY DESIGN:Two validation studies. OBJECTIVES:To assess the measurement properties of the short version of the Van Lieshout test (VLT-SV), a new test for arm/hand function of persons with tetraplegia after spinal cord injury (SCI). SETTING:Two specialized rehabilitation centres in The Netherlands. METHODS:Study 1 ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101937
更新日期:2006-12-01 00:00:00
abstract:STUDY DESIGN:This cross-sectional chart review study included 100 US Veterans with spinal cord injuries/disorders (SCI/D) who received care at a Veterans Affairs (VA) SCI facility during a 12-month period. Progress notes were examined to extract need for weight management (WM), patient-provider discussions about risk d...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.59
更新日期:2016-12-01 00:00:00
abstract:STUDY DESIGN:Prospective. OBJECTIVES:To test whether provocative stimulation of the testes identifies men with chronic spinal cord injury (SCI), a population in which serum testosterone concentrations are often depressed, possibly due to gonadal dysfunction. To accomplish this objective, conventional and lower than th...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2017.8
更新日期:2017-07-01 00:00:00
abstract::It is important to consider a differential diagnosis between paralysis on an organic basis and paralysis and disability due to psychological mechanisms in people with physical impairment secondary to trauma, without evidence of organic etiology. We review the most dramatic type of conversion disorder (CD)-'Conversion ...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101308
更新日期:2002-07-01 00:00:00
abstract:STUDY DESIGN:Repetitive transcranial magnetic stimulation study. OBJECTIVES:The analgesic effects of repetitive transcranial magnetic stimulation (rTMS) in chronic pain have been the focus of several studies. In particular, rTMS of the premotor cortex/dorsolateral prefrontal cortex (PMC/DLPFC) changes pain perception ...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2016.87
更新日期:2017-01-01 00:00:00
abstract:STUDY DESIGN:Group cohort design. OBJECTIVES:To determine the influence of spinal cord injury (SCI) and neurological level on heart rate variability (HRV) and associations with fatigue. SETTING:SCI rehabilitation outpatient and community settings in New South Wales, Australia. METHODS:Participants included 45 adults...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.174
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To determine the prevalence and potential risk factors of vitamin D deficiency and insufficiency among Malaysian children with spina bifida. SETTING:Four Malaysian tertiary hospitals. METHODS:Children with spina bifida were assessed for potential demographic, disease sev...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0441-7
更新日期:2020-09-01 00:00:00
abstract:STUDY DESIGN:This study was a randomized, parallel-group, controlled clinical trial. OBJECTIVES:The purpose of this study was to examine the efficacy of targeting inflammation as a means of improving cognitive function in individuals with spinal cord injury. SETTING:Participants were recruited from the Niagara region...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2016.96
更新日期:2017-01-01 00:00:00
abstract:STUDY DESIGN:Prospective randomized single blind study. OBJECTIVES:To find out the incidence of deep vein thrombosis (DVT) in Indian acute spinal cord injury (ASCI) subjects with and without pharmacological prophylaxis. SETTING:Indian Spinal Injuries Centre. METHODS:Seventy four ASCI subjects were randomly divided i...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2014.71
更新日期:2014-07-01 00:00:00
abstract:STUDY DESIGN:Observational cross-sectional study. OBJECTIVES:To describe the most common prescription medications used and the extent of out-of-pocket cost, insurance coverage, and cost-related nonadherence (CRNA) for those medications by people with spinal cord injury (SCI) in Canada. SETTING:Community in Canada. M...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-019-0406-x
更新日期:2020-05-01 00:00:00
abstract::The purpose of the study was to use dual energy X-ray absorptiometry to measure bone mineral density (BMD) in the lumbar spine, the femoral neck, Ward's triangle, and the greater trochanter in 204 men (69 able-bodies controls and 135 spinal cord injured patients) stratified according to age (20-39, 40-59, and 60+ year...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100394
更新日期:1997-06-01 00:00:00
abstract:STUDY DESIGN:Multicentered follow-up with centralized data collection based on retrospective study. OBJECTIVES:To assess the outcome in a population of patients with spinal cord injury (SCI). The assessed outcomes are mortality, state of health, occupation, mobility, autonomy, social and partner relationships, quality...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.sc.3101457
更新日期:2003-05-01 00:00:00
abstract:STUDY DESIGN:Histopathological study of the human spinal cord. SETTING:International Collaboration on Repair Discoveries, Vancouver, BC, Canada. RATIONALE:In animals, primary dorsal root afferent fibers, which are immunoreactive for calcitonin gene-related peptide (CGRP), sprout following spinal cord injury (SCI) int...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3102020
更新日期:2007-10-01 00:00:00
abstract:AIM OF STUDY:Clean intermittent self catheterisation (CISC) is commonly used by patients with impaired bladder emptying. But how to manage acute false passages in patients on CISC? METHODS:Six patients experienced difficulty when performing intermittent catheterisation. Urethrocystoscopy demonstrated a new false passa...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100789
更新日期:1999-03-01 00:00:00
abstract::The author has taken care of patients with spinal cord injury for over 30 years. A major part of these years was spent doing tendon transfers on the patients with tetraplegia. Thirteen were not better, but not worse out of the 285 patients who had an operation. All of the patients have had a period of rehabilitation, ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100475
更新日期:1998-05-01 00:00:00
abstract::Different conservative treatment modalities for the lower urinary tract dysfunction in patients with spinal cord lesion are reviewed. Conservative treatment is still the mainstay of the urological management in these patients. Growing experience has changed the classical approach. Spontaneous voiding with and without ...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101160
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To determine which images provide the most useful information and the best time to perform prognostic MRI. DESIGN:The severity of neurological complications was assessed using the ASIA impairment scale. MRI was first performed within 48 h of injury, and was subsequently performed after 2-3 weeks, 3 months, 6...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100858
更新日期:1999-06-01 00:00:00
abstract:STUDY DESIGN:Multicenter prospective cohort. OBJECTIVE:To discern neurological- and functional recovery in patients with a traumatic thoracic spinal cord injury (TSCI), conus medullaris syndrome (CMS), and cauda equina syndrome (CES). SETTING:Specialized spinal cord injury centers in Europe. METHOD:Lower extremity m...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0463-1
更新日期:2020-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective study at a rehabilitation center. OBJECTIVES:Patients with spinal cord injury, even if they are wheelchair users, sometimes suffer from fractures of the lower limb bones. As their bones are too weak to have surgery, and because a precise reduction is not required for restoration, such patien...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.145
更新日期:2013-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVE:To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI). SETTING:Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.93
更新日期:2017-01-01 00:00:00
abstract:STUDY DESIGN:Prospective multidimensional study by means of: (1) clinical assessment, (2) parental-administered questionnaire for general health (CHQ-PF50), and (3) standardised disability measurements. OBJECTIVES:To assess the health-related quality of life (QoL) and disability in children with spina bifida (SB) and ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101707
更新日期:2005-04-01 00:00:00
abstract:STUDY DESIGN:Determination of fat oxidation at three different intensities in trained wheelchair athletes on the treadmill. OBJECTIVE:The aim of the study was to assess the level and highest rate of fat oxidation in endurance-trained wheelchair athletes for recommendation on endurance training. SETTING:Institute of S...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101548
更新日期:2004-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective study OBJECTIVES: To compare the accuracy of estimated serum creatinine (Cre)-based glomerular filtration rates (eGFRcre) and serum cystatin C (CysC)-based eGFR (eGFRcys) for determining renal function in patients with spinal cord injury (SCI). SETTING:Department of Urology, Tohoku Rosai Hos...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-017-0045-z
更新日期:2018-05-01 00:00:00
abstract:STUDY DESIGN:Experimental laboratory investigation of the effects of serotonergic and glutamatergic drugs in early paraplegic mice. OBJECTIVES:To examine whether NMDA and 5-HT receptors synergistically participate to generate basic stepping movements in paraplegic mice. SETTING:Laval University Medical Center, Quebec...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101580
更新日期:2004-03-01 00:00:00
abstract:STUDY DESIGN:Systematic review and meta-analysis. OBJECTIVE:To determine the risk factors predictive of dysphagia after a spinal cord injury (SCI). SETTING:None. METHODS:A comprehensive literature search was performed in five scientific databases for English articles that identified risk factors for dysphagia after ...
journal_title:Spinal cord
pub_type: 杂志文章,meta分析
doi:10.1038/s41393-018-0170-3
更新日期:2018-12-01 00:00:00
abstract:STUDY DESIGN:A case report. SETTING:Department of Orthopaedic Surgery, Shiga University of Medical Science, Japan. PATIENT:A 13-year-old woman presented progressive weakness in the lower extremities, with predominance on the right. Magnetic resonance (MR) imaging revealed a huge syrinx. The patient also showed scolio...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101607
更新日期:2004-09-01 00:00:00
abstract:STUDY DESIGN:A combination of review of case notes and outpatient follow-up. OBJECTIVE:To evaluate the effectiveness of the modified Girdlestones-Taylor procedure in patients with spinal cord injury (SCI). SETTING:Princess Royal Spinal Injuries Centre (PRSIC), Northern General Hospital, Sheffield, UK. METHODS:Nine p...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101924
更新日期:2006-12-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVES:To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2. SETTING:Istanbul, Turkey. METHODS:A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and tra...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101808
更新日期:2006-05-01 00:00:00
abstract::Hyposmolar hyponatremia (serum sodium < 130 mmol/l) is a common phenomenon in the spinal cord injury (SCI) patient population and in most cases, it is of relatively little consequence. However, rapid correction or over correction of hyponatremia (a change in serum sodium > 25 mmol/l within 48 h) has been linked to Cen...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100371
更新日期:1997-05-01 00:00:00
abstract:STUDY DESIGN:Single patient case report. OBJECTIVES:To present and discuss a case of spontaneous spinal subdural hematoma that was not associated with coagulation abnormality. SETTING:Seoul National University Hospital, Seoul, Korea. METHODS:Clinical and radiological magnetic resonance imaging follow-up of the patie...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100967
更新日期:2000-03-01 00:00:00