中国现代医学杂志2003，Vol.13Issue(23)：33-36,4.
螺纹异体皮质骨椎间融合支架治疗下腰椎不稳的临床初步报告
Preliminary report on treating lumbar spondylolisthesis with ailograft interbody fusion cage
陈建常 1史振满 1刘聪 1张春浩 1许刚 1张保东 1陈文红 1王鑫1
作者信息
- 1. 兰州军区乌鲁木齐总医院全军骨科中心,830000
- 折叠
摘要
Abstract
Objective:To report a newly designed allograft interbody fusion cage (AIFC) for treating lumbar spodylolisthesis Methods: 27 cases of lower lumbar spondylolisthesis and degenerative lumbar instability patients were treated with 39 AIFCs, one space implanted two AIFC in 9 intervertebral spaces and one AIFC in 21 intervertebral spaces. 3 cases of them were anterior lateral approach and the other 24 cases were posterior lateral approach.15 cases were treated simultaneously by internal fixation with Steffee and RF or FJ. Among them 12 were male and 15 female, with age from 20 to 72 years (average 48.5 years). Preoperative radiography suggested Ⅰ°～Ⅱ° and Ⅱ°～Ⅲ° degrees of spondylolisthesis were in 17 and 7 cases respectively, and 3 cases were degenerative lumber instability. Results:At an average of 13 months, fallow- up for AIFC, 21 patients had excellent results, 5 good and 1fair in clinical evaluation. All segments were confirmed to be solidly fused by constant X - ray examination and there was 1 ～2 mm loss in height of supported interspace at 3～4 months after operation. Break of AIFC was observed in one of them. There were no angular deformities and severe neurologic complication. Conclusions: AIFC could provide enough support, anti - slide ability and could remain or increase the height of intervertebral space. The fusion rate was similar to that of autograft. Some complications caused by implanting auto lilac crest and metal cage can be avoided. The authors thought it was an ideal fusion method for treating lumbar spondylolisthesis. 关键词
腰椎/内固定器/异体植骨/椎间融合/下腰椎失稳症Key words
threaded allograft/interbody fusion cage/lumbar interbody fusion/internal fixators/lumbar spondylolisthesis分类
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陈建常,史振满,刘聪,张春浩,许刚,张保东,陈文红,王鑫..螺纹异体皮质骨椎间融合支架治疗下腰椎不稳的临床初步报告[J].中国现代医学杂志,2003,13(23):33-36,4.
