腰椎椎弓崩裂合并滑脱的外科治疗初探  

Surgical Treatment of Spondylolysis witk Spondylolistkesis

作　　者：王静成[1] 戴松茂[1] 董仁章[1] 顾德毅 虞堂云 冯新民 

机构地区：[1]扬州医学院附属医院骨科

出　　处：《颈腰痛杂志》1996年第1期11-13,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：分析１９８３年３月至１９９４年５月３３例腰椎椎弓崩裂合并滑脱病人的外科治疗情况，提出病因，诊断要点及手术适应症，强调减压是解除症状的关键，复位前先行松解。就内固定方法选择进行了比较，认为短棒ｃｏｔｒｅｌ－Ｄｕｂｏｕｓｓｅｔ（ＣＤ）为佳，有效椎弓根内固定是帮助复位、提高融合率的重要措施。高质量的融合可防止再滑脱使远期疗效优良。rom March 1983 to May. 1994,the authors investigated 35 patients of spondylolysis with spondylolisthesis who weretreated surgically. The followings were concluded:the causes of the disease,the main points of the diagnosis and the operativeindications. We stressed on the decompression for relieving the symptoms. Before reduction, relieving must be gained. Com-pered with other internal fixations,short rod Cotrel-Dubousset. was considered the best. It could fix the lumbar pedicle ef-fectively. The fusion with higb quality couldprevent the lumbar vertebra from respondylolisthesis and got better long-termeffect.

关 键 词：腰椎椎弓崩裂 腰椎滑脱 外科手术 

分 类 号：R681.530.5[医药卫生—骨科学]