论文部分内容阅读
目的:研制一种单节段复位内固定器治疗腰椎滑脱症,以获得损伤小、复位满意、固定牢靠的优点。方法:临床应用20例腰椎滑脱症患者,随访平均2年10个月,从临床和放射学进行评定。结果:术前滑脱Ⅱ度15例,Ⅲ度5例,手术平均复位率91%,6个月后复位部分丢失4例,平均丢失率为9%,其中断钉2例;疗效良好18例,尚可2例。无神经损伤并发症发生。结论:单节段复位内固定器可提供满意的复位固定作用,是治疗腰椎滑脱症的一种损伤较小、安装较简便、疗效确切的方法;复位质量的维持有赖于良好的植骨质量和术后适度的腰部保护。“,”Objective: For the treatment of spondylolisthesis,we designed a single segmental reduction-fixation system with the following advantages:(1)less injury;(2)satisfactory reduction;(3)stable fixation.Method:20 cases of lumbar spondylolisthesis were selected for operation with this system.The mean follow-up time was 2 years and 10 months.The clinical and radiological results were evaluated.Result:The preoperative slipping was grade Ⅱ in 15 cases,grade Ⅲ in 3 cases.The mean correction rate was 91%.Partial correction loss occurred in 6 cases six months after operation.Implant breakage occurred in 2 cases.18 cases have good results.2 cases have fair results.No neurological complication occurred.Conclusion:The single segmental reduction-fixation system is a good method with less injury and satisfactory result on the treatment of spondylolisthesis.Long term result of reduction depends on good bone grafting and suitable lumbar protection after operation.