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Conclusion One-stage transpedicular debridement, posterior interior fixation, RBK blended streptomycin filled bone tissue grafting is suitable for thoracolumbar tuberculosis clients with great basic condition and less vertebral destruction.Objective evaluate the degeneration of lumbosacral multifidus muscle tissue in patients with lumbar disk herniation. Techniques Thirty-five healthy volunteers and 35 clients with unilateral L4,5 lumbar disc herniation from December 2015 to September 2017 were recruited. There were 20 males and 15 females in each team, elderly from 25 to 55 years old. In healthier volunteers group, the mean age was (35.66±8.73) years old plus the BMI was (21.85±1.94) kg /m2. In patients with lumbar disc herniation, the mean age was (36.09±7.70) yrs . old, the BMI was (21.50±1.78) kg /m2, the VAS rating ended up being 4.40±0.88, the course of condition was (11.20±7.14) months. Surface electromyography evaluation had been done in the multifidus muscle for the two groups. The average myoelectric amplitude of the multifidus muscle mass into the two teams were contrasted. Outcomes The average myoelectric amplitude associated with the multifidus muscle tissue of healthier volunteers had been (48.84±7.77) µV in the remaining and (49.13±7.86) µV in the right. There clearly was no factor between your two edges (P>0.05). The average myoelectric amplitude of multifidus muscle in patients with lumbar disc herniation was(48.82±8.14) µV from the healthy part and (42.81±7.00) µV regarding the affected side, plus the difference was statistically significant between two sides(P0.05). There is factor within the typical myoelectric amplitude of multifidus muscle between your affected side of lumbar disc herniation and on the left of healthy volunteers, and in addition between your affected part of lumbar disk herniation as well as on just the right of healthier volunteers(P less then 0.05). Summary Patients with chronic lumbar disc herniation have actually an imbalance in myoelectric activity, in addition to muscle tissue energy regarding the multifidus muscle tissue from the affected part is substantially decreased.Objective To research the influencing factors of concealed loss of blood (HBL) through the treatment of percutaneous vertebroplasty (PVP). Techniques The clinical data of 125 patients with osteoporotic vertebral compression fractures (OVCFs) treated with percutaneous vertebroplasty from March 2016 to December 2017 had been retrospectively analyzed. All clients underwent X rays for the AP and lateral lumbar back, double oblique, and dynamic positions. Lumbar spine CT, MRI, and double energy X ray bone tissue densitometer (DXA) were utilized to ensure the diagnosis. There have been 55 males and 70 females, 10 cases of thoracic vertebrae, 89 instances of thoracolumbar vertebrae, 26 situations of lumbar vertebrae, 87 situations with solitary portion, 29 instances with double portion,and 9 instances with 3 segments. The vertebral compression height ratios of 67 clients had been less than a third, plus the ratios for 41 customers had been from one third to 2 / 3,for 17 patients were a lot more than 2 / 3. Blood routine examination were done before and 3 days after surgery to analyd loss after PVP treatment, which needs interest. At precisely the same time, the history of diabetes, surgical portions, number of segments, bone cement leakage price, vertebral level reduction price and vertebral height recovery rate are the risk factors for concealed blood loss.Objective To assess the curative effects of hurt vertebra pedicle fixation coupled with vertebroplasty and short-segment pedicle screw fixation coupled with vertebroplasty in treatment of osteoporotic thoracolumbar rush fractures. Techniques Seventy clients with osteoporotic thoracolumbar burst cracks which came across narturalproduct the inclusion requirements were gathered into the research from January 2015 to December 2017. Among them, 35 patients had been treated with injured vertebra pedicle fixation coupled with vertebroplasty (group A), including 20 men and 15 females, aged from 55 to 74 years with an average of (64.03± 7.82) years. Twenty-six cases were type A3 and 9 cases had been type A4 based on the AO typing;another 35 patients had been treated with brief portion pedicle screw fixation combined with vertebroplasty (group B), including 18 guys and 17 females, elderly from 54 to 72 many years with the average of (62.78±6.40) years. Twenty-eight cases were type A3 and 7 cases were type A4 based on AO typing. Process length, intraopee significant variations in the Cobb angle and injured vertebral height between 1 week after operation and also at the last follow-up (P less then 0.05). During the final follow up, injured vertebral height in group A was obviously better than that in group B (P less then 0.05). Internal fixation failure occurred in 2 instances from the group A, and took place 4 situations from the team B. There were no neurological complications both in groups. Conclusion For osteoporotic thoracolumbar vertebral rush cracks, injured vertebra pedicle fixation combined with vertebroplasty and vertebra pedicle screw fixation along with vertebroplasty can achieve great clinical impacts. Nevertheless, injured vertebra pedicle fixation combined with vertebroplasty is better at maintaining postoperative vertebral level and sagittal arrangement, and lowering interior fixation related problems. The treatment method is worth application and promotion.Objective To quantify discomfort pressure threshold(PPT) in the patients with lumbar intervertebral disk herniation before and after treatment, also to learn the medical outcomes of the PPT test in lumbar intervertebral disc herniation. Methods From January to December 2017, 59 customers with lumbar intervertebral disc hernation were treated, and another 59 typical people were recruited because the normal control group.
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