Anterior thoracolumbar surgery Problems and Countermeasures.docVIP

 PAGE \* MERGEFORMAT 13 Anterior thoracolumbar surgery Problems and Countermeasures Author: Lin Dan HU Yi-Feng Chen Chunlei Zhang Shan Zhong Zhigang Qiu Xue-li Keywords: Thoracolumbar Since June 1999 ~ April 2005 undergraduate OK thoracic and lumbar spine surgery total of 72 patients during and after surgery now appears to be several issues to discuss, ask questions and discuss the reasons for countermeasures. A clinical data 1.1 The group of 72 patients, male 54 cases and 18 female, aged 14 to 62 years. Surgical reasons: Thoracolumbar burst fracture with spinal canal compression in front of 48 cases, thoracic, and 12 cases of thoracic and lumbar tumors, thoracic spine compression seven cases of tuberculosis and lower lumbar vertebral burst fractures and spinal canal severely affected by pre - pressure in 5 cases. 1.2 surgical In addition to four cases in this group alone anterior decompression and bone graft, the remaining 68 cases are used in different ways fixation. A fixed way Kaneda, Zplate, USAplate, imitation Zplate, China Great Wall of anterior screw - rod system, AODCP. 1.3 The intraoperative and postoperative problems (1) decompression is not completely in 7 cases; (2) excessive blood loss, more than 2000ml a total of 14 cases; (3) intraoperative epidural rupture, surgical injury in 3 cases, 7 cases of injury of fracture blocks; (4) vertebral physical location of the direction and length of nails poor into the disc in 2 cases (Figure 1), some into the disc in 2 cases (Figure 2), failed to nail the direction of the upper and lower vertebral end-plate in parallel with the 10 cases (Figure 3), nail too long 3 cases, too short, 4 cases (Figure 4); (5) after mild scoliosis (Figure 1), 6 cases, 5 °, 8 °, 10 ° each in 2 cases. 2 Discussion Thoracic lumbar spine surgery because of difficult surgical wounds large operation for a long time after surgery is inevitable in some unsatisfac