| 腰椎峡部裂患者37例手术疗效分析 |
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| 引用本文： | 朱灏,唐旭东,毛志有,覃先云,陈学涛,熊开军.腰椎峡部裂患者37例手术疗效分析[J].临床和实验医学杂志,2011,10(14):1091-1093. |
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| 作者姓名： | 朱灏 唐旭东 毛志有 覃先云 陈学涛 熊开军 |
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| 作者单位： | 中国人民解放军第37医院骨科,四川,雅安,625000 |
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| 摘 要： | 目的观察椎弓根钉-椎板钩系统治疗腰椎弓峡部裂的临床疗效。方法对37例腰椎峡部裂的患者应用椎弓根钉-椎板钩系统行峡部断端间植骨内固定。结果全部病例均获随访,平均随访时间9个月,术前日本整形外科学会(JOA)评分平均为(19.08±2.54)分,末次随访时平均(27.05±1.73)分。所有患者术后峡部裂植骨均骨性融合,内固定无松动、脱落。结论椎弓根钉-椎板钩系统是一种节段性内固定治疗腰椎峡部裂的有效方法,简单易行,尤其适用于年轻且无明显椎体滑脱和椎间盘突出的峡部裂患者。
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| 关 键 词： | 腰椎峡部裂 内固定 疗效 |
The effect of operation in 37 patients with lumbar spondylolysis |
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| Institution: | ZHU Hao, TANG Xu - dong , MAO Zhi - you, et al. Department of Orthopaedics, The 37 Army Hospital of Ya＇an, Ya＇an Sichuan 625000, China. |
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| Abstract: | Objective To observe the clinical effect of pedicle screw - lamina hook system applied for treatment of lumbar spondylolysis. Methods Thirty seven cases with lumbar spondylolysis were treated with local bone graft and fixation by pedicle screw - lamina hook system. Resuits All patients were followed up for an average of 9 months, the preoperative JOA scores were19.08 ± 2.54 and postoperative scores were 27. 05 ± 1.73. The spondylolysis got fusion in all patients. No looseness of internal fixator or breakage was found. Conclusion The pedicle screw - lamina hook system is a kind of single segment fixation for lumbar spondylolysis, it has been proved being safe and effective, and it is more suitable for spondylolysis in youth with no disc herniation. |
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| Keywords: | Lumbar spondylolysis Internal fixation Effect |
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