腰椎间盘突出症合并马尾神经损伤

方法；采用椎板切除及带蒂复合体回植成形髓核摘除术治疗腰椎间盘突出症合并马尾神经损伤２６例。结果：平均随访５年８个月，腰腿痛症状完全消失１４例，部分缓解１２例，马尾神经功能完全恢复８例，未恢复５例；下肢肌肉瘫痪的１８例中，肌力完全恢复１２例，示恢复２例，结论；本病预后与马尾神经损伤程度及手术减压是否彻底有关，马尾神经损伤程度与突出物大小，突出速度及病程长短有关。腰椎管狭窄是本病的前置因素，继发性，粘     

带髂腰血管蒂髂骨瓣植骨融合术治疗化脓性椎间隙感染

ObjectiveTo study the anatomy of iliac bone with iliaolumbar vessel and its clinical application in the pyogenic infection of the lumbar intervertebral space.Method10 specimens of iliaolumbar vessels in 5 adult cadavers were selected.The origin,passage,branch,outer diameter and length of iliaolumbar vessels were observed.The pyogenic infection of the lumbar intervertebral disc were treated by using free vascularized iliac bone transplantation for interbody bone graft.Clinical effects and fusional time were observed.ResultsThe iliaolumbar vessels went along in stable direction and its pedicle was 11.5±1.5cm,the outer diameter at the origin 2.5±0.2mm.Solid fusion was observed for 3～4 months after the operation.There was no recurrence in 6～41 months postoperatively.ECT showed that blood circulation of the iliac bone was good.ConclusionVascularized iliac bone transplantation for interbody bone grafting is one kind of applicable method for intervertebral disc infection in L4/5 and L5/S1.     

带髂腰血管蒂的髂骨瓣在下腰椎椎间隙感染中的临床应用

对32例下腰椎椎间隙感染患者行彻底病灶清除术，采用带髂腰血管蒂的髂骨瓣椎体间植骨融合。结果：术后26例获0．5—3．4a随访，患者椎体均融合，无1例病灶复发。认为带髂腰血管蒂的髂骨瓣椎体间植骨融合手术操作简便，缩短了骨愈合时间，重建了脊柱的稳定性，是治疗下腰椎椎间隙感染的较好方法。     

带髂腰动脉蒂髂骨瓣椎间植骨二例

带髂腰动脉蒂髂骨瓣椎间植骨二例吕慧利矫晓坤我院于１９９５年１０月～１２月采用带髂腰动脉蒂的髂骨瓣转位行椎间植骨２例，效果较好，报道如下。例１男，３９岁。因腰部疼痛５０天入院。ＭＲＩ与ＥＣＴ诊断为腰４、５椎间隙感染。于１９９５年１０月２３日行手术探查，...     

腰椎间盘突出症合并马尾神经损伤(附26例报告)

方法：采用椎板切除及带蒂复合体回植成形髓核摘除术治疗腰椎间盘突出症合并马尾神经损伤２６例。结果：平均随访５年８个月，腰腿痛症状完全消失１４例，部分缓解１２例；马尾神经功能完全恢复８例，未恢复５例；下肢肌肉瘫痪的１８例中，肌力完全恢复１２例，未恢复２例。结论：本病预后与马尾神经损伤程度及手术减压是否彻底有关，马尾神经损伤程度与突出物大小、突出速度及病程长短有关。腰椎管狭窄是本病的前置因素，继发性、粘连性马尾神经炎是影响马尾神经功能恢复的重要原因。本病一旦确诊应尽早手术。带蒂复合体回植成形髓核摘除术优于全椎板切除术