| 强力圈、椎板下钢丝和椎弓钉联合治疗腰椎滑脱 |
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投稿时间：2000-04-19
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| 期刊信息：《中国骨伤》2000年，第13卷，第9期，第527-528页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:总结强力圈、椎板下钢丝和椎弓钉联合治疗腰椎滑脱的优越性。
方法:应用自行设计的强力圈和滑脱复位椎弓钉加椎板下钢丝治疗腰椎滑脱32例。滑脱程度Ⅰ度19例,Ⅱ度9例,Ⅲ度4例;采用复位器进行复位、后路椎间和关节突及横突周围植骨。
结果:术后随访1年以上,解剖复位率94.5%,植骨全部融合。
结论:本方法的使用避免了单独使用椎弓钉复位引起的术中椎弓钉松动滑脱;减少了椎弓钉的使用数量;克服了椎弓钉进钉点受器械限制的缺点,缩短了手术时间。 |
| 【关键词】腰椎滑脱 固定术 骨移植 |
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| Combined use of a self designed sublaminal reinforced ring and pedicle nail for the surgical treatment of spondylolisthesis |
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ABSTRACT
Objective:To study the effectiveness of the surgical treatment of spondylolisthesis with the combined use of a self designed device consisting of the reinforced ring under the lamina,pedical nail and wiring fixation for the reduction.
Methods:32 cases of spondylolisthesis were treated with this method.The lesions were of the Ⅰ degree in 19 cases,Ⅱ degree in 9 cases and Ⅲ degree in 4 cases.The spondylolisthesis were reduced with the reduction apparatus.Through the posterior approach,bone graft was done around the facets and the transverse processes.
Results: The follow up period extended for more than one year.Anatomical reduction was attained in 95.4% of the cases with healing of the bone graft in all.The functional recovery was excellent in 88.9%.
Conclusion:The application of this method avoided intra operative loosening of the pedicle nails;the number of pedicle nails used could be reduced;the sites of nail insertion were selected without the restrictions by instrumentation.The operation period was shortened as well. |
| KEY WORDS Spondylolisthesis Fixation Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张新力,侯明,郑建森,胡令东.强力圈、椎板下钢丝和椎弓钉联合治疗腰椎滑脱[J].中国骨伤,2000,13(9):527~528 |
| 英文格式: | ZHANG Xin li,HOU Ming,ZHENG Jian sen.Combined use of a self designed sublaminal reinforced ring and pedicle nail for the surgical treatment of spondylolisthesis[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(9):527~528 |
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