The translation of the provided text appears to involve a complex mix of medical terminology and concepts related to thoracolumbar fracture treatment, complications, and surgical procedures. Below is an attempt to translate the text into coherent English while preserving its meaning:
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**AF Nail Fixation for Thoracolumbar Fractures: Complications and Reasons for Ridge Gui Integration**
The creation of a stable school environment through AF nail fixation for thoracolumbar fractures can lead to complications if not properly managed. Without spinal fusion, any spinal default may result in failure. Analyzing clinical data reveals that intraoperative bone grafting and fusion are essential for achieving stability. For instance, more than 10 small-footed bone grafts were used intraoperatively to ensure sufficient fusion. Postoperative spine exercises were conducted to maintain lumbar spine stability (P-K~rt). Poor outcomes were attributed to inadequate bone grafting or fusion, which could increase the incidence of postoperative loosening and pain.
Early ambulation or early surgery with brace-supported activity is recommended for this group of patients. However, one case of rod interruption occurred due to family circumstances, forcing autonomous field activities after six months. Three months later, the rods were removed in ten cases. To ensure proper healing, strict adherence to fracture healing timelines is necessary. Postoperative guidance and gradual exercise should be timely administered to ensure optimal recovery within 3.6 months. Delayed intervention may compromise the strongest rhizopod sectional structure of the vertebrae, leading to fatigue fractures at the pedicle junction during flexion and extension activities.
Default lien body duration correlates with the degree of clinching. Neurosis symptoms persisted in two cases, likely due to nerve stimulation during surgery, which improved with subsequent treatment. Additionally, mild osteoporosis in some patients led to reduced pedicle screw stability.
**Preventive Measures:**
- Preoperative familiarity with anatomy ensures accurate bit determination and appropriate screw selection (thickness, length).
- Optimize screw thread depth and direction to enhance fixation.
- During surgery, intervertebral bone fusion processes must address potential vertebral slippage or burst fractures. Using Kirschner wires as probes helps remove inner bone walls before pedicle screw implantation.
- Pay attention to screw intensity, depth, and direction to prevent postoperative injuries to abdominal cavities, tubes, or carbon-woven structures.
- Vertebral body fractures, especially those with compromised support forces, are prone to bending or breaking, leading to monopolizing body shrinkage or thoracolumbar fractures after AF defaults.
- Avoid early out-of-bed activities without protective measures.
- Early functional exercises should be conducted cautiously to prevent default failure.
In summary, preoperative, intraoperative, and postoperative considerations for thoracolumbar fractures using AF fixation must be thoroughly evaluated. Clinical indications should be strictly weighed, and surgery programs should include full fusion and meticulous operations. Postoperative patient guidance and missionary efforts are crucial to avoid fatigue fractures and ensure successful recovery.
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