《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (01): 41-43.

• 临床研究 • 上一篇    下一篇

脊髓损伤后并发骨折的临床观察

徐基民 ; 纪树荣 ; 张琦   

  1. 1.首都医科大学康复医学院 北京市 000077;2.北京博爱医院中医康复科 北京市 100077
  • 收稿日期:2002-10-08 出版日期:2003-01-25 发布日期:2003-01-25

Clinical observation of fractures after spinal cord injury

XU Ji-min,JI Shu-rong,ZHANG Qi   

  1. Beijing Charity Hospital affiliated to China Rehabilitation Research Center,Beijing 100077,China
  • Received:2002-10-08 Published:2003-01-25 Online:2003-01-25

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摘要： 目的探讨脊髓损伤后并发骨折的原因、预防及治疗措施。方法1988-2001年22例脊髓损伤后并发骨折患者的临床资料,进行回顾总结。结果22例脊髓损伤后并发骨折患者均有不同程度的骨质疏松或骨量减少,骨折在无意或较小外力时发生,骨折时无症状,往往忽略,难以及时发现。15例经过手术治愈。结论脊髓损伤后骨质疏松是脊髓损伤患者发生骨折的病理基础,被动关节活动时骨干承受超负荷应力是本组患者发生下肢骨折的主要外因,强调早期预防和治疗骨质疏松及健康宣教的重要性。

关键词: 脊髓损伤, 骨折, 骨质疏松

Abstract: ObjectiveTo discuss the causes, preventions and treatments of fractures after spinal cord injury (SCI).MethodsA retrospective survey was carried out in the clinical data of 22 patients who suffered fractures after SCI in China Rehabilitation Research Center (CRRC) during 1988-2001.ResultsAll the patients showed osteoporosis or osteopenia in different degrees,fractures occured unconsciously or during minor force,without symptoms after fractures.It was difficult to discover and often was neglected. 15 patients were cured by surgical operation.Conclusions Osteoporosis is the pathological base of fractures after SCI, excess loading stress in the diaphysis is the main cause during joint movement passively, it is important to emphasize preventions and treatments of osteoporosis on early stage and the health propaganda and education is needed.

Key words: spinal cord injury(SCI), fracture, osteoporosis