摘要
设计了椎弓根钉钩板（ＰＳＨＰ）及其操作技术，能使腰椎滑脱复位及固定椎弓。手术步骤包括清理缺损处纤维组织，滑脱复位并固定椎弓，神经根减压和缺损两侧植骨。手术治疗１２例，平均３８岁。测量对比手术前后Ｘ线片的滑脱率（ＰＳ）、滑脱角（ＡＳ）和椎间盘指数（ＤＩ），术后ＰＳ明显减少，矫正率６６％，ＡＳ接近正常椎间盘角，ＤＩ有一定程度增加。平均随访６．３个月。用日本整形外科学会评分标准评分（总分２９分），术前平均１７．３分，随访平均２６．８分，改善率为８１．２％。
The pedicle screws hook plates (PSHP)and the operative technique were designed to reduce slipping and fix the vertebral arch only. The main procedures of the operation include: clear fibrous tissue of the defect, reduction of the slipped vertebral body and fixation of the lytic arch, decompression of the nerve roots and bone grafting bilaterally of the defect. From July, 1993 to July, 1994, 12 patients were operated, the average age was 38 years. The percentage of slipping (PS) , the angle of slipping ( AS ) and the disc index (DI) measured on the roentgenograms between pre and postoperatively were compared. The PS decreased obviously in postoperation and the average of correction was 66%, the AS was closed to the normal angle of the disc, the DI increased in some extent. The avesage follow-up period was 6.3 months. Clinical evaluation was done with the score rating system of the Japanese Orthopaedic Association(total 29 points), preoperative average score 17.3 and follow-up average score 26.8. The improvement rate was 81.2%.
出处
《山东医科大学学报》
1995年第4期331-335,共5页
Acta Academiae Medicinae Shandong
关键词
腰椎峡部不连
腰椎滑脱
椎弓根钉
钩钢板
Spondylolysis, spondylolithesis
Reduction
Pedicle screw
Hook plate
