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991.
To evaluate the clinical outcome, effectiveness and safety of the surgical management of traumatic lumbar spondylolisthesis
with transforaminal lumbar interbody fusion (TLIF) with short segmental instrumentation fixation. A retrospective review of
a consecutive series of 24 patients with traumatic lumbar spondylolisthesis treated with TLIF procedure was carried out. Intraoperative
spinal cord monitoring was used to confirm the peripheral neural function intact during the reduction of the spondylolisthesis.
Preoperative clinical and radiographic evaluation of all cases were originally collected prospectively. Data regarding blood
loss, operative time, duration of hospital stay, radiographic fusion, instrumentation failure and clinical result were collected
and observed at regular follow-up periods. All patients were engaged in high-energy accidents in the lower back and 16 patients
had concomitant injuries. The mean operative time was 124 min, mean blood loss was 350 mL, and mean hospital stay was 6.5
days. There were no complications such as incision infection, cerebrospinal fluide (CSF) leakage and nerve root injury and
so on. All patients demonstrated a solid lumbar interbody fusion within 4 months, and no evidence of spondylolisthesis correction
loss, instrumentation failure and loosing. They all were completely asymptomatic, with normal neurologic findings, and had
resumed their previous level of physical activities on the final follow-up. Meticulous clinical examination and careful imaging
assessment could assist an early diagonosis in cases of traumatic lumbar spondylolisthesis. Performing open reduction and
the TLIF procedure as soon as possible could restore segmental stability and painless function. The TLIF procedure was a safe,
effective technique to treat traumatic lumbar spondylolisthesis. 相似文献
992.
An access control policy that eliminates all queues beyond the entry points to a network has obvious benefits, which include smooth travel and predictable travel times inside the network. Yet it has never been proven, to the best of our knowledge, whether excluding inside queues yields sub-optimal network performance or, in other words, allowing inside queues can actually further reduce the system travel cost. Moreover, it is not clear whether an optimal control policy derived from efficiency considerations can also be a fair policy to all road users. This paper provide answers to these questions in the context of a monocentric network. By analyzing the structure of the access control problem considering all feasible policies (with/without inside queues), we show that the minimal system cost realizable by access control can be obtained without directly solving a non-convex optimization program, and can indeed always be achieved by a control policy excluding all of the inside queues. These optimal policies are defined by a polyhedral set and a Finite Generation Algorithm can be applied to derive the analytical form of this set. The optimal policies are not unique in general, thus making it possible to achieve both minimal system cost and fairness simultaneously. 相似文献
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1 引言 筒仓是散粮码头、粮库等场所最主要的粮食储备设施.早期的筒仓多为钢筋混凝土锥底结构,物料靠自流卸出筒仓.但受其自身结构的限制,筒仓底部约有30%的空间得不到利用,经济性较差.为此,近年来国内新建或改建的筒仓多采用大容量钢板式平底结构.这种结构型式的筒仓既降低了工程造价,又提高了筒仓的仓储利用率.但因其仓底均为平面,出仓时有相当一部分粮食不能自流卸出. 相似文献