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关节融合及椎板下钢丝取出术后椎管的磁共振成像评估

Magnetic resonance imaging evaluation of the spinal canal following arthrodesis and removal of sublaminar wires.

作者信息

Olson S A, Lepkowski H, Gaines R W

机构信息

Division of Orthopaedic Surgery, University of Missouri Health Sciences Center, Columbia.

出版信息

Spine (Phila Pa 1976). 1991 Aug;16(8 Suppl):S339-42.

PMID:1785084
Abstract

Seven patients who underwent posterior spinal fusion with Harrington instrumentation and sublaminar wires, and subsequently had these implants removed, were evaluated for evidence of spinal canal compromise with magnetic resonance imaging (MRI) at the sites of the sublaminar wires. All fusions were solid. The sites of 33 wires (27 levels) were evaluated with MRI. The average time the wires were in the spinal canal was 24.6 months. The average time following wire removal at the time of MRI was 61.7 months. Twenty-eight of 33 (85%) wire sites had no evidence of spinal canal compromise. Five sites had minimal (less than 15%) spinal canal compromise. The permanent structural changes in the spinal canal attributable to sublaminar wires appears to be quite modest.

摘要

七名接受了哈灵顿器械及椎板下穿钢丝后路脊柱融合术,随后又移除了这些植入物的患者,接受了磁共振成像(MRI)检查,以评估椎板下穿钢丝部位椎管受压的证据。所有融合均已牢固。对33根钢丝(27个节段)的部位进行了MRI评估。钢丝置于椎管内的平均时间为24.6个月。MRI检查时距钢丝移除的平均时间为61.7个月。33个钢丝部位中有28个(85%)没有椎管受压的证据。5个部位有轻微(小于15%)的椎管受压。椎板下穿钢丝导致的椎管永久性结构改变似乎相当轻微。

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