摘要
目的：介绍了单节段经椎弓根张力带和原位融合术治疗腰峡部裂的临床应用。方法：共治疗３６例７８处病变，原位融合包括峡部裂的植骨修复和腰椎的后外侧植骨融合，范围１～２个节段。结果：随访１年４月～４年１１个月，平均２年７月。７４处病变获得骨性融合，占９４４％，计优２８例，良６例，可１例，差１例。结论：临床结果表明，该手术具有创伤小，内固定简便、稳固，对腰骶部运动生理干扰小等优点。经椎弓根张力带内固定可提供有效的融合。手术指征取决于临床症状的严重程度，同时，亦对融合节段和椎管减压等进行了讨论。
Aim:Clinial study about the treatment of spondylolysis by internal fixation and in situ arthrodesis of the defect within single segment was introduced.Methods:This technique was used in 36 patients with 78 defects. In situ arthrodesis includes isthmic grafting,isthmic repair and posterolateral fusion.Results:The average period of follow up was 31 months (16～59 months) and seventy four defects were gained bone fusion.As a result,28 patients were graded in excellent,and 6 good,1 fair, 1 poor.Conclusions:The results of clinic showed that the operation had the advantage of less operative trauma ,simple and stable internal fixation,remaining the activity of lumbosacral area.Transpedicular tension band fixation will lead reliable fusion.Surgical treatment is indicated when the disease remains functionally incapacitating.At the same time,the discussion about levels of arthrodesis and spinal canal decompression was presented.
出处
《颈腰痛杂志》
1999年第2期91-94,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
腰椎峡部裂
张力带固定
融合治疗
Lumbar spondylolysis Tension band fixation Arthrodesis
