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CD椎弓根内固定治疗腰椎滑脱

THE APPLICATION OF COTREL-DUBOUSSETTRANSPEDICULAR FIXER IN LUMBAR SPONDYLOLISTHESIS
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摘要 自1992年4月至1994年10月应用CD椎弓根钉-棒治疗腰椎滑脱27例。平均随访12个月,手术疗效满意。优良率92.6%,融合率96.3%,滑脱平均改善占67.2%,并发症发生率为18.5%。无神经损伤和器械断裂。结果表明,CD椎弓根内固定治疗腰椎滑脱具有矫形能力强,固定强度高,影响运动节段少,并发症低,临床疗效好的优点,是目前较理想的腰骶融合内固定器。 From April 1992 to October 1994, 27 cases of patients with various lumbar spondylolis-thesis stabilized by using Cotrel-Dubousset pedicle screw system for lumbar or lumbosacralfusion were studied. The average following-up period was 12 months. The results showedthat the clinical effective rate was 100%and the excellent and good results were 92.6% The average degree of slip correction was 67.2%,Ten out of 27 patients got complete re-duction. The bony fusion rate was 96.3%,One case became pseudoarthrosis due to rod loos-ening. The incidence of total complications was 18.5%, No neurological damage and hard-ware breakdown occurred.This study demonstrated that the Cotrel-Dubousset svstem hadremarkable advantage over any other posterior fixers in the treatment of lower back disor-ders,It is more suitable for the anatomic change of lumbosacral segment.It can stabilize lesssegments,as well as reach the strongest three dimensional rigidity and get excellent clinicalresults,It’s an ideal fixer for the lumbar or lumbosacral fusion.
出处 《湖南医科大学学报》 CSCD 1995年第5期472-474,共3页 Bulletin of Hunan Medical University
关键词 腰椎滑脱 CD椎弓根 内固定装置 lumbar vertebrae spondylolisthesis cotrel-dubousset pedicle screw system internal fixators therapeutic use follow-up studies
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