摘要
[目的]探讨应用钩钉复位固定、峡部植骨治疗青年峡部裂的疗效.[方法]2003年1月～2004年5月行钩钉复位固定、峡部植骨融合治疗青年峡部裂14例28侧.就手术时间、术中出血量与同期脊柱融合术14例相比较,并进行统计学分析.通过术前、术后VAS评分和影像学资料,分析该术式的优点、手术适应证、临床疗效等.[结果]该术式手术时间短、术中出血少,与脊柱融合术有统计学差异;术前、术后VAS评分有统计学差异;术后随访8～25个月,平均17.4个月,所有患者骨性融合、下腰痛缓解.[结论]彻底的清创、恰当的植骨方式和钩钉系统坚强内固定是治疗青年峡部裂有效的方法,但也有其明确的手术适应证.
[ Objective] To explore the outcome of spondylolysis in young patients treated with Hook-Screw technique and bone grafting. [ Method] Fourteen patients with 28 defects were treated with Hook-Screw technique and bone grafting from Jan. 2003 to May 2004, the meau age of patients was 24 years （ ranged, 19 - 28 years） , with an averaged follow-up period of 17.4 months （ranged, 8 - 25 months） , the osteounion of spondylolysis and the improvement of low back pain were investigated. [ Conclusion] Spondylolysis in all patients recovered, although 2 screws were found loosen 1 year later. There was significant difference between preand postoperative VAS evaluation. [ Result] Radical debridement, adequate autograft volume and Hook-Screw system that can closely contact between the graft bed and autograft bone, were the keys to treat Spondylolysis in young patients.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第17期1298-1300,共3页
Orthopedic Journal of China
