摘要
颈前路扩大减压术后需取自体髂骨行椎体间关节融合，为减少取骨量，缩短手术时间，对４７例病人１０３个间隙分别进行椎体间关节旋转植骨及自体髂骨植骨。采用自体对照，对植骨块的稳定性、椎间隙宽度的变化、植骨块的愈合时间及取骨处残留的症状进行比较。结果：椎间关节旋转植骨组与自体髂骨植骨组相比，植骨块的稳定性、愈合时间及椎间隙宽度变化经统计学处理两组无明显差异（Ｐ＞０．０５），而椎体间关节旋转植骨组仅有１例取骨部残留疼痛，较自体髂骨取骨组明显减少。提示：采用椎体间关节旋转植骨既利用了废弃物，缩短了手术时间，减少了髂骨部的损伤及取骨量，避免了取骨部位残留疼痛的并发症，又同时达到了与自体髂骨植骨融合的同样疗效。
Anterior cervical spinal decompression needs interbody fusion by using iliac crest bone grafting.To reduce the quantity of bone harvest and shorten the time of operation,47 cases(103 intervertebral space)were operated on with an autogenous rotating intervertebral joint bone grafting(group Ⅰ) or with autogenous iliac crest bone grafting(group Ⅱ).The stability of the bone grafting,the change of intervertebral space width,the time of union and the complications of the donor site of the two groups were compared.The result showed that there was no significant statistical difference between the two groups in the stability of the bone grafting,the time of union and the change of the intervertebral space width. And only one case had donor site pain in group Ⅰ;this was significantly lower than in group Ⅱ.It is concluded that using autogenous rotating intervertebral joint bone grafting can shorten the time of operation,reduce the injury of iliac crest,and avoid the pain at the donor site.At the same time it can have the same effect as that given by antogenous iliac crest bone grafing.
出处
《河南医科大学学报》
1996年第2期13-15,共3页
Journal of Henan Medical University
基金
河南省科技攻关资助
