中国组织工程研究2018，Vol.22Issue(15)：2340-2344,5.DOI:10.3969/j.issn.2095-4344.0794
"U"形钛棒系统节段内固定联合峡部植骨治疗单纯性腰椎峡部裂
U-shape titanium screw-rod fixation system with bone grafting for the treatment of pure lumbar spondylolysis
孙鲁琨 1许春涛 2刘华 2颜丙祥 2岳瀚宇 2王平山2
作者信息
- 1. 第二军医大学,上海市 200433
- 2. 解放军济南军区总医院,骨创科,山东省济南市 250000
- 折叠
摘要
Abstract
BACKGROUND: When conservative treatment of pure lumbar spondylolysis is ineffective, segmental fixation and bone grafting is a commonly used method. However, surgical methods are various, and have some controversies. OBJECTIVE: To investigate the effectiveness of U-shape titanium screw-rod fixation system with bone grafting for pure lumbar spondylolysis. METHODS: Data from 15 patients with pure lumbar spondylolysis or without mild spondylolisthesis, who were treated with U-shape titanium screw-rod fixation system and bone grafting in the Department of Orthopedics of Jinan Military General Hospital from May 2012 to May 2016, were retrospectively reviewed. Operation time, intraoperative blood loss and postoperative drainage were observed. The lumbar spine X-ray, CT, Visual Analogue Scale and Oswestry Disability Index were compared before operation, 3, 6 and 12 months after operation. RESULTS AND CONCLUSION: (1) The operation time was (115.0±18.8) minutes, the intraoperative blood loss was (280.0±84.3) mL, and the postoperative drainage was (61.0±19.6) mL. (2) By Visual Analogue Scale and Oswestry Disability Index during following-up, pain symptoms and function were significantly improved (P < 0.05). (3) No secondary spondylolisthesis, adjacent vertebral degeneration, internal fixation fracture, loosening, infection or nerve injury occurred during the follow-up. (4) All patients had bony union. The healing time range was 6-12 months, with an average of 8.2 months. (5) In summary, U-shape titanium screw-rod fixation system with bone grafting is a good choice for the treatment of pure lumbar spondylolysis.关键词
腰椎峡部裂/单纯性/椎体滑脱/"U"形钛棒/手术修复/植骨/脊柱植入物/骨科植入物分类
医药卫生引用本文复制引用
孙鲁琨,许春涛,刘华,颜丙祥,岳瀚宇,王平山.."U"形钛棒系统节段内固定联合峡部植骨治疗单纯性腰椎峡部裂[J].中国组织工程研究,2018,22(15):2340-2344,5.
