Berven Sigurd H, Hu Serena S, Deviren Vedat, Smith Jason, Bradford David S
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143, USA.
Clin Orthop Relat Res. 2003 Jun(411):70-6. doi: 10.1097/01.blo.0000068186.83581.14.
The maintenance of mobile segments in the lumbar spine may prevent complications associated with long fusions to the sacrum and permit improved postoperative patient function and mobility. The purpose of the current study was to describe the technique of end plate osteotomy for surgical treatment of fractional curves in the lumbosacral region. This technique serves to allow the end lumbar vertebra to become horizontal, to reduce lumbosacral fractional curves, and to create a stable end vertebra above the pelvis. A review of long-term clinical and radiographic outcomes in patients treated with the technique have been satisfactory. The authors show that the techniques of end plate osteotomy with concave osteophyte excision is a clinically valuable technique for the treatment of adults with fixed lumbosacral fractional curves.
腰椎活动节段的保留可预防与长节段融合至骶骨相关的并发症，并能改善术后患者的功能和活动能力。本研究的目的是描述终板截骨术治疗腰骶部成角畸形的技术。该技术可使腰椎终末椎体变水平，减少腰骶部成角畸形，并在骨盆上方形成稳定的终末椎体。对采用该技术治疗的患者进行的长期临床和影像学结果回顾显示效果令人满意。作者表明，伴有凹侧骨赘切除的终板截骨术是治疗成人固定性腰骶部成角畸形的一种具有临床价值的技术。
