| 腰椎滑脱内固定术并发症的分析与防治 |
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投稿时间：2008-01-21
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘栋 |
LIU Dong |
苏州大学附属第二医院骨科，江苏 苏州 215004 |
Department of Orthopaedics,the Second Affiliated Hospital of Suzhou University,Suzhou 215004,Jiangsu,China |
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| 沈忆新 |
SHEN Yi-xin |
苏州大学附属第二医院骨科，江苏 苏州 215004 |
Department of Orthopaedics,the Second Affiliated Hospital of Suzhou University,Suzhou 215004,Jiangsu,China |
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| 郝剑 |
HAO Jian |
苏州大学附属第二医院骨科，江苏 苏州 215004 |
Department of Orthopaedics,the Second Affiliated Hospital of Suzhou University,Suzhou 215004,Jiangsu,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第4期，第253-255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：回顾腰椎滑脱症经后路椎管减压、椎弓根内固定治疗的临床效果，探讨主要并发症发生的原因及其防治措施。
方法：回顾分析1991年2月至2007年5月收治的165例经后路椎管减压、椎弓根内固定系统治疗的腰椎滑脱症病例的手术及术后随访情况。男55例，女110例；年龄15～75岁，平均53.6岁。单节段滑脱161例，双节段滑脱4例。Ⅰ度滑脱150例(90.9%),Ⅱ度滑脱15例(9.1%).
结果：165例患者术后3个月时滑脱节段保持解剖复位，外侧植骨融合好。术中并发症5例次(3.0%),其中硬脊膜撕裂4例次，神经根损伤1例次；术后并发症18例次(10.9%),其中脑脊液漏3例次，切口感染1例次，切口血肿2例次，一过性下肢神经症状5例次，内固定失败1例次，植骨不愈合6例次。
结论：腰椎滑脱症采用经后路椎弓根内固定系统固定临床效果满意，并发症的发生与掌握椎弓根内固定技术的熟练程度有关，并需严格掌握手术适应证。 |
| 【关键词】脊椎滑脱 内固定器 手术中并发症 手术后并发症 |
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| Analysis of complications associated with internal fixation for lumbar spondylolisthesis |
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ABSTRACT
Objective: To evaluate the therapeutic effects of lumbar spondylolisthesis by decompression,instrumentation and posterolateral fusion,and study the causes of the related complications and its method for the prevention.
Methods: One hundred and sixty-five cases with gradeⅠtoⅡspondylolisthesis from February 1991 to May 2007 were retrospectively analyzed. All cases were treated by posterior lumbar canal decompression,reduction with pedicle screw system and fusion with posterolateral bone grafting. Among them,there were 55 male and 110 female with an average age of 53.6 years. Besides,one segment was involved in 161 cases and two segments involved in the rest of them.
Results: The complications were divided into either intraoperative postoperative complications. Intraoperative complications were 5 cases(3.0%) there were 4 cases with dura tear and 1 case with nerve root injury. Postoperative complications were 18 cases(10.9%),there were 3 cases with cerebrospinal fluid leakage,1 case with wound infection,2 cases with hematoma,5 cases with transient neurological deficits,1 cases with implant failures and 6 cases with pseudarthrosis formation .
Conclusion: Good clinical results of lumbar spondylolisthesis can be obtained by posterior reduction and fixation with pedicle screw system. However,operation skills and strict indications play an important role in the prevention of complications. |
| KEY WORDS Spondylolysis Internal fixators Intraoperative complications Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘栋,沈忆新,郝剑.腰椎滑脱内固定术并发症的分析与防治[J].中国骨伤,2008,21(4):253~255 |
| 英文格式: | LIU Dong,SHEN Yi-xin,HAO Jian.Analysis of complications associated with internal fixation for lumbar spondylolisthesis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(4):253~255 |
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