摘要
1987年4月~1991年12月作者采用各种不同的手术方法治疗腰椎峡部裂和滑脱症共63例,总优良率为84.9%。经随访,对各种手术方法的效果作出估价,认为:1.腰痛伴有腰椎峡部裂或轻度滑脱患者,加压钩钉植骨固定术应是首选术式。2.有神经根压迫症状时,应作椎板切除减压木,同时作腰椎融合术.3.减压术后植骨内固定方法以后外侧(横突间融合)法简便、效果可靠。本文同时介绍了加压钩钉植骨固定手术方法。
From April 1978 to December 1991, 63 cases of spondylolysis and spondylolisthesis were treated with various operative method. The rate of excellent and good effects were 84. 9%. The final results of these method were discussed and evaluated. The author's experiences are as follows: (1) The new modified operation of bone grafting and a compression hook screw is the first choice for treatment of spondylolysis or mild spondylolisthesis. (2) If there are sings and symptoms of irritation of compression of cauda equina and nerve roots, the decompression with laminectomy and arthrodesis of the involved vertebrae are strongly indicated. (3) The method of lateral intervertebral fusion (intortransverse process fusion) after decompression are simple, safe. and reliable. A new method of bone grafting and a compression hook screw for surgical treatment was introduced.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1992年第6期241-244,共4页
Chinese Journal of Spine and Spinal Cord
关键词
脊柱裂
椎弓峡部不连
外科手术
Spondylolysis
Spondylolisthesis
Compression hook screw
Bone grafting fixation