简介：Inthisstudyalumbarspinalfusionanimalmodelisestablishedtoassesstheeffectofspinalfusioncage,andexploretheminimumarearatiooftitaniumcagesectiontovertebralsectionthatensuresbonehealingandbiomechanicalproperty.Lumbarcorpectomywasconductedbyposterolateralapproachwithtitaniumcageimplantationcombinedwithplatefixation.Titaniumcageswiththesamelengthbutdifferentdiameterswereused.Afterimplantationoftitaniumcages,theprogressofbonehealingwasobservedandthebonebiomechanicalpropertiesweremeasured,includingdeformationanddisplacementinaxialcompression,flexion,extension,andlateralbendingmotion.Thefactorsaffectingtheinvivogrowthofspinesupportingbodywereanalyzed.Theresultsshowthatthearearatiooftitaniumcagesectiontovertebralsectionshouldreach1/2toensurethebonehealing,sufficientboneintensityandbiomechanicalproperties.Somebonehealingindicators,suchasBMP,suggestthatthereisarelationshipbetweenthepeaktimeandthepeakvalueofboneformationandmetabolismmarkersandthebonehealingstrength.

简介：除了常规触诊方法，运动(ROM)和活动性的脊椎的范围上的检查能帮助决定病理学的排水量并且因此为针的tuina操作提供稳固的基础。

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简介：位于威斯康星州梅库恩的TitanSpine公司，在2013年获得与公司的种植体表面技术以及内骨骼椎间装置设计和专业化的系统器械相关的四项专利。在钛合金装置上经过一种适当的处理形成一个织构化的表面，为促进融合位置骨骼生长产生最佳的表面能。

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简介：AbstractOutbreak of COVID-19 is ongoing all over the world. Spine trauma is one of the most common types of trauma and will probably be encountered during the fight against COVID-19 and resumption of work and production. Patients with unstable spine fractures or continuous deterioration of neurological function require emergency surgery. The COVID-19 epidemic has brought tremendous challenges to the diagnosis and treatment of such patients. To coordinate the diagnosis and treatment of infectious disease prevention and spine trauma so as to formulate a rigorous diagnosis and treatment plan and to reduce the disability and mortality of the disease, multidisciplinary collaboration is needed. This expert consensus is formulated in order to (1) prevent and control the epidemic, (2) diagnose and treat patients with spine trauma reasonably, and (3) reduce the risk of cross-infection between patients and medical personnel during the treatment.

简介：目的：评价单一穴位治疗急性腰扭伤的治疗效果。方法：根据统一的诊断标准，在多个临床中心进行随机对照研究。全部病例320例经随机数字表法分为针刺后溪穴观察纽和针刺腰痛点对照组。对患者的疼痛程度分别由医师和患者进行评分。结果：治疗2个疗程后，观察组和对照组近期有效率分别为89．4％和82．5％，远期有效率分别为95．6％和93．5％。经Ridit分析，近期疗效差异有统计意义(P<0．05)，远期疗效差异无统计意义(P>0．05)。结论：针刺单一穴位治疗急性腰扭伤疗效确切，取穴简便，后溪穴疗效好于腰痛点。

简介：目的：对电针治疗腰椎间盘突出症的疗效进行客观评价。方法：采用随机对照的研究方法，将200例患者分为两组，观察组100例，采用电针疗法进行治疗；对照组100例，采用口服莫比可药物治疗。结果：观察组治疗腰突症的总有效率为86．5％，对照组总有效率为75．0％，两组间差异存在显著性意义（P〈0．01）。结论：电针疗法治疗腰突症疗效显著，安全性高。

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简介：AbstractPurpose:Gunshot wounds are the second leading cause of spinal cord injuries. Surgical intervention for gunshot injury to the spine carries a high rate of complications. There is a scarcity of data on civilian gunshot injuries to the spine in Pakistan. Approximately 60 cases over the last 10 years have been recoded, with unusual presentation and neurological recovery. Thus 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 study. Patients 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 study. Data 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 deficits. The patients were further grouped into those with cord transection, and those with fractures of the bony spine but an intact spinal cord. These patients were then followed and the outcomes were recorded.Results:A total of 40 patients were identified. The mean ± SD of patients age was (30.9 ± 9.5) years. Of the 40 patients with gunshot wounds, 31 had the medical imaging performed at the facility, and hence they were included in this categorization. The remaining 9 patients were excluded from this additional grouping. Thirteen patients were managed surgically and 27 patients underwent the conservative management. The mean ± SD of follow-up was (8.7 ± 7.2) months. In our study, the thoracic spine was the most commonly injured region in gunshot injuries. Of the 31 patients with medical imaging performed at our institute, 17 (54.8%) had cord transection, of whom 8 (47%) ultimately developed paraplegia.Conclusion:The prognosis of gunshot injuries to the spine can be varied depending on whether the spinal cord is intact or transected. This will help healthcare providers to plan the further management of the patient and counsel them accordingly.

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简介：Inthepresentpaper,176casesoflumbarintervertebraldiscprotrusionaretreatedwithelectroacupuncture(EA)andtopicalheatirradiation.Localtender-pointisusedasthemainacupoint,combinedwithTunzhong,Tiaoyue,Weizhong(BL40)andYanglingquan(GB34).Thetreatmentisconductedoncedaily,with15sessionsbeingatherapeuticcourse.Followingtreatment,of176cases,46(26.1%)arecured,90(51.1%)haveprominentimprovement,35(19.8%)haveameliorationand5(2.8%)havenoapparentchanges,withatotaleffectiverateof97.0%.

简介：目的：观察电针治疗急性腰扭伤的，临床疗效以及治疗前后腰部红外热像图的变化。方法：采用随机数字表将295例急性腰扭伤患者随机分为电针组147例和药物组148例，电针组选用后溪穴治疗，药物组用美洛昔康片治疗，各组治疗前后进行腰部红外热像图的检查。结果：电针组和药物组痊愈率分别为71．4％和42．6％；有效率分别为93．9％和87．2％（P〈0．01）；电针组与药物组红外热像图治疗前后温度差分别为为2．52℃和0．80℃（P〈0．01），二者有显著性差异。结论：电针组和药物组治疗急性腰扭伤均有显著疗效，但电针组的总体疗效优于药物组，且电针组治疗前后红外热像图的升温效应也明显高于药物组。

简介：采用以针刺为主、辅以腰部牵引和按摩等方法对89例腰椎间盘突出症患者进行综合治疗。经4个疗程的治疗．治愈65例。显效12例。有效7例．无效3例。采用以针刺为主的综合治疗腰椎间盘脱出症，能明显提高治疗效果．值得临床推广应用。

简介：目的：分析非手术疗法治疗腰椎间盘突出症的近期、远期疗效。方法：将165例腰椎间盘突出症患者按随机和单盲法分为牵引组、推拿组，推拿加功能锻炼组，治疗2个疗程后，评定近期疗效。然后将取得显效的102例患者按区组随机和单盲法分为功能锻炼组和对照组，随访1年观察两组复发率，并分别于治疗后6和12个月进行腰椎功能评定。结果：推拿组和推拿加功能锻炼组较牵引组近期疗效显效率差异有显著性(x^2=8．359，P<0．01)。功能锻炼组1年内的复发率明显低于对照组(x^=12．631，P<0．01)。结论：推拿加功能锻炼是防治腰椎间盘突出症的有效方法。

简介：针刺强刺激水沟穴,治疗42例急性腰扭伤患者,治愈32例,显效5例,无效5例,有效率88.1％.

简介：客观：为了选择腰部的transpedicular的一个合适的方法，在三个方法之中在不同腰部的层次拧紧固定(Roy-Camille“s方法，Magerl”s方法和杜“smethod)在中国人口。方法：三维(3-D)图象与被电子横梁CT扫描的42个成年腰部的片断的图象数据被重建。腰部的小花梗螺丝钉固定的三个方法在3-D上被模仿重建的图象和植入小花梗螺丝钉的参数被测量。结果：在从入口点的距离有统计上重要的差别到在三个方法之间的小花梗轴(P<0.001)。Thedistances由“s方法从L1是最短的到L4，并且距离测量了byMagerl”的杜测量了s方法在L5是最短的(P<0.05)。从L1没有重要差别到L2(P>0.05)，但是对在插入TSA(横向的节角度)的安全范围的L5的从L3的重要差别在三个方法之间被发现(P<0.05)。从L3到L4，TSA的插入的安全范围由杜测量了“s”和Magerls方法比那测量byRoy-Camille显著地大“s方法(P<0.05)，但是他们之间没有重要差别(P>0.05)。AtL5，TSA的插入的安全范围由Magerl测量了“s方法在三个方法之中是最大的(P<0.05)。结论：在三个方法之中，杜“因为它到小花梗轴的从入口点的距离最短，TSA的安全范围最大，s方法是从L1toL4的最好的选择；Magerl“s方法能从L3被使用到L5并且是在L5的最好的选择；Roy-Camille”s方法在L1和L2是适用的。

简介：BackgroundSpinalpainisaserioushealthandsocial-economicproblem.Endoscopicspinesurgeryasatreatmentoptionforspinalpainhasgainedtremendousattentionandgrowthinthepast2decades,andavarietyofendoscopictechniqueshavebeeninventedtotreatawiderangeofspinalconditions.PurposesThepurposesofthis2-partreviewarticleareto1)overviewthepublishedtechniquesofendoscopicspinesurgery,2)summarizetheapplicationsofthesetechniquesintreatingvariousspinalconditions,and3)evaluatetheclinicalevidenceofthesafetyandeffectivenessoftheseendoscopictechniquesintreatingsomeofthemostcommonspinalconditions.Thefirstpartofthereviewarticleprovidesanoverviewofcurrentlymostcommonlyusedtechniques.MethodsWesearchedthePubMeddatabaseforpublicationsconcerningendoscopicspinesurgeryandreviewedtherelevantarticlespublishedintheEnglishlanguage.ResultsDiscectomyandforaminotomyarethemostcommontypesofspinesurgerythatcancurrentlybedoneendoscopically.Endoscopictechniqueshavebeenusedtotreatawiderangeofspinaldisorderslocatedinthelumbar,cervical,aswellasthethoracicregionsofthespine.

简介：ObjectiveToobservetheeffectofclappingacupointonhyperosteogenyoflumbarvertebra.MethodsNinety-eightcaseswererandomlydividedinto65casestreatedbyclappingAshipointintreatmentgroupand33casestreatedbysimpleacupunctureincontrolgroup.ResultsAmong65casesintreatmentgroup,52caseswerecuredand13caseswerenotcured;of33casesincontrolgroup,19caseswerecuredand14caseswerenotcured,andtherehadsignificantdifferenceincureratebetweenthetwogroups,x2=5.51,P＜0.05.ConclusionTreatmentofhyperosteogenybyclappingacupointwasbetterthansimpleacupuncturetherapy.

简介：观察运用一次缪刺法治疗急性腰扭伤53例的临床疗效。采用针刺健侧飞扬，肾俞和委中的治疗方法，治疗急性腰扭伤患者53例，1次治疗治愈18例，好转29例，总有效率为88．7％。1次缪刺法治疗急性腰扭伤效果显著，简单易行。