军人腰椎峡部裂的原因分析与治疗策略

目的 探讨军人腰椎峡部裂的发生原因与治疗策略.方法 回顾性分析我院660例军人腰椎峡部裂患者的病例资料,根据分类,采取保守治疗或手术治疗.结果 军人发生腰椎峡部裂的主要原因是疲劳骨折（66.7%）;660例平均随访16个月,总有效率为95.5%,均无神经症状加重、切口感染发生.结论 不科学、高强度、高频率的军事训练所致的疲劳性骨折是军人腰椎峡部裂的主要原因;应根据腰椎峡部裂的症状、影像学表现及神经损伤情况,早期采取有效的治疗.

Causative analysis and treatment strategy of lumbar spondylolysis in soldiers

Objective To explore the reasons and treatment strategy of lumbar spondylolysis in soldiers. Methods Retrospective analysis was made in the case data of 660 soldiers with lumbar spondylolysis who received conservative or surgical treatment according to their disease conditions. Results The main reason for the occurrence of lumbar spondylolysis in soldiers was fatigue fracture（66.7% ）. The average time of follow-up among the 660 cases was 16 months, and the total effective rate was 95.5%. No case of neurologic symptoms increased,and the infection of incisioual wound did not occur. Conclusion Fatigue fracture caused by unscientific ,highly intensive, and ahofrequent military trainings is the main reason for the occurrence of lumbar spondylolysis in soldiers. Early effective measures should be taken according to the symptoms of lumbar spondylolysis, imaging manifestations, as well as the degree of nerve injury.