改良Scott法治疗青年性腰椎椎弓崩裂  

The Modified Scott Wiring Technique for Direct Repair of Lumbar Spondylosis in Young Patients

作　　者：樊健[1] 刘璠[2] 赵剑[2] 邵云伟[1] 张辉[1] 高为人[1] 

机构地区：[1]江苏省启东市人民医院,江苏启东226200 [2]江苏南通大学附属医院,江苏南通226001

出　　处：《实用骨科杂志》2007年第3期134-136,共3页Journal of Practical Orthopaedics

摘　　要：目的评价改良Scott法治疗青年性腰椎椎弓崩裂的临床疗效。方法对12例青年性腰椎椎弓崩裂患者进行峡部修理、植骨,而后行改良Scott法内固定。结果12例随访时间6-19个月,平均13个月。患者下腰痛或放射痛等症状显著缓解,按MacNab′s标准,优8例,良3例,一般1例,优良率为91.7%。未见椎弓根螺钉及钢丝松动、断裂,X线融合率为100%。结论改良Scott法是一种符合正常生理解剖的治疗青年性腰椎椎弓崩裂的方法,简单易行,疗效显著,但需掌握适应证。Objective To evaluate the clinical effect of modified Scott wiring technique for direct repair of lumbar spondylosis in young patients. Methods 12 young cases with lumbar spondylosis were treated with isthmic debriment, local bone graft and fixation by modified Scott wiring technique. Results All patients were followed up for 6 ～19 months, 13 on the average. The lower lumhar pain disappeared in 12 patients. According to the MacNah＇s scores, the result were excellent in 8 cases ,good in 3, fair in 1, and the excellent and good rate was 91.7 %. No pedical screw and wire looseness or breakage was found. The x-ray film showed that the spondylolysis got fusion in all cases. Conclusion The modified Scott wiring technique for direct repair of lumbar spondylosis is accorded with anatomy in young patient, which is effective and requires simple manipulation. But still needs careful selection of patients.

关 键 词：改良Scott法 治疗 青年性 腰椎 椎弓崩裂 

分 类 号：R681.57[医药卫生—骨科学]