摘要
目的 :介绍单纯腰椎椎弓峡部裂行峡部植骨治疗方法。方法 :通过对 12例共 2 4处病变的手术结果进行分析。结果 :随访 6个月～ 2年 2个月 ,平均 13个月。X线片提示所有病例均获得骨性融合 ,优 9例 ;良 3例。结论 :峡部植骨融合术符合生物力学原则 ,对腰椎的正常生理活动范围干扰小、操作简单、创伤也较小 ,是治疗单纯腰椎椎弓峡部裂的理想方法。但要求术中植骨确实可靠 ,术后正确指导康复。
Objective: To introduce an operative technique for spondylolysis of bone grafting in the isthmic defect and facet joint.Methods:This technique were used in 12 patients with 24 defects and the results were studied.Results:The average period of follow-up were 13 months(6～26 months).Bone fusion was roentgenologically observed in all patients.As a result,9 patients were graded in excellent,and 3 good.Conclusion:This biomechnical operation is technically simple and makes no sacrifices of lumbar motion ranges.Isthmic bone grafting is indicated in young patients with spondylolysis.However,unreliable grafting will lead to non-union.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第6期410-411,共2页
Orthopedic Journal of China
关键词
腰椎
峡部植骨
椎弓峡部裂
Lumbar
Isthmic bone grafting
Spondylolysis
