腰椎融合固定术后骶髂关节疼痛原因的分析  

Sacroiliac joint pain sfter lumbar or lumbosacral fusion

作　　者：何晓斌[1] 黄奎[1] 

机构地区：[1]湖北省荆州市第一人民医院骨科,湖北荆州434000

出　　处：《生物骨科材料与临床研究》2012年第4期46-48,共3页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的对腰椎融合固定术后发生骶髂关节疼痛的原因进行分析。方法对2006年6月~2008年6月间在我院行腰椎或腰骶部融合固定术167例病例中,产生术后骶髂关节疼痛的14例病人为调查对象,对伴或不伴腰骶部融合固定的单节段与多节段椎间融合固定术后骶髂关节疼痛的发病率进行比较。结果其中12例在1年内发生骶髂关节疼痛,骶髂关节疼痛的发病率在单节段椎间融合固定为4.1%,多节段椎间融合固定为14.3%;未累及骶椎飘浮融合﹙floatingfusion﹚为6.1%,累及骶椎固定融合﹙fixedfusion﹚的16.7%。结论多节段椎间融合固定和腰骶部融合固定导致术后骶髂关节疼痛发病率明显增加。Objectives To investigate the development of sacroiliac joint pain after lumbar or lumbosacral fusion. MethodsSacroiliac joint pain developed in 14 of the 167 patients who underwent lumbar or lumbosacral fusion between June 2005 and June 2008. Comparing the incidence rates of sacroiliac joint pain in the single-segment fusion with rnultiple-segment fusionand fixed fusion （ including the sacrum ） with floating fusion （ excluding the sacrum ）. Results In 12 of the 14 cases, the onset ofthe pain was within 1 year after aurgery. The incidence rates of sacroiliac joint pain after single-segment fusion andmultiple-segment fusion were 4.1% and 14.3%. The rates after fixed fusion （ including the sacrum ） and floating fusion excluding the sacrum ）were 16.7%and6.1%. Concfusions The rate after multiple-segment fusion was significantly higher,respectiyely, and the incidence rates after fixed fusion was significantly higher.

关 键 词：腰椎固定术 腰骶椎固定术 骶髂关节疼痛 

分 类 号：R687.3[医药卫生—骨科学]