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[脊柱外科非创伤性适应症中的内固定器]

[The internal fixator in nontraumatic indications in spinal surgery].

作者信息

Boos N, Lowery G, Aebi M

机构信息

Orthopädische Universitätsklinik, Inselspital, Bern.

出版信息

Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):12-8. doi: 10.1055/s-2008-1040151.

DOI:10.1055/s-2008-1040151
PMID:1826384
Abstract

This series includes 59 consecutive patients, 51 of whom had a minimum follow up of 2 years. The diagnosis was mechanical instability in 39, deformity in 11, and infection or tumor in 9 patients. The overall clinical results of the total group were good or fair in 88% of the patients. Pseudarthrosis occurred twice. We had on postoperative infection, one persistent and two reversible neurological complications. We found 13 broken screws and one rod breakage which had no clinical relevance. None of these asymptomatic complications required revision. The internal fixator has a great potential of correction in scoliotic and kyphotic deformities of the spine. It has not been shown to have the same potential in spondylolisthesis. A combined anterior and posterior stabilisation is needed in severe spondylolisthesis. We have found the internal fixator to provide satisfactory stability to allow fusion and good clinical results with a low rate of relevant complications.

摘要

该系列包括59例连续患者,其中51例至少随访了2年。诊断为机械性不稳定的有39例,畸形11例,感染或肿瘤9例。全组患者总体临床结果88%为良好或尚可。发生了2例假关节。有1例术后感染、1例持续性和2例可逆性神经并发症。发现13枚螺钉断裂和1根棒材断裂,但无临床相关性。这些无症状并发症均无需翻修。该内固定器在脊柱侧弯和后凸畸形的矫正方面有很大潜力。在腰椎滑脱中尚未显示出同样的潜力。严重腰椎滑脱需要前后联合稳定。我们发现该内固定器能提供令人满意的稳定性,以实现融合,临床效果良好,相关并发症发生率低。

相似文献

1
[The internal fixator in nontraumatic indications in spinal surgery].[脊柱外科非创伤性适应症中的内固定器]
Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):12-8. doi: 10.1055/s-2008-1040151.
2
Transpedicular fixation in the treatment of various spinal disorders.经椎弓根固定术治疗各种脊柱疾病。
Acta Chir Belg. 1993 Jul-Aug;93(4):188-92.
3
Application and results of the AO internal fixation system in nontraumatic indications.AO内固定系统在非创伤性适应症中的应用及结果
Spine (Phila Pa 1976). 1991 Mar;16(3 Suppl):S162-9. doi: 10.1097/00007632-199103001-00024.
4
The BWM spinal fixator system. A preliminary report of a 2-year prospective, international multicenter study in a range of indications requiring surgical intervention for bone grafting and pedicle screw fixation.
Spine (Phila Pa 1976). 1996 Sep 1;21(17):2006-15. doi: 10.1097/00007632-199609010-00016.
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[Treatment of thoracolumbar spinal fractures using internal fixators (evaluation of 120 cases)].[应用内固定器治疗胸腰椎脊柱骨折(120例病例分析)]
Acta Chir Orthop Traumatol Cech. 2001;68(2):77-84.
6
[CDH--preliminary report on a primary stable ventral lumbar spine instrumentation].[先天性髋关节发育不良——原发性稳定型腰椎前路内固定术的初步报告]
Z Orthop Ihre Grenzgeb. 1995 May-Jun;133(3):274-81. doi: 10.1055/s-2008-1039448.
7
Spinal instrumentation in the management of degenerative disorders of the lumbar spine.腰椎退行性疾病治疗中的脊柱内固定术。
Clin Orthop Relat Res. 1997 Feb(335):39-53.
8
Salvage and reconstructive surgery for spinal deformity using Cotrel-Dubousset instrumentation.使用Cotrel-Dubousset器械进行脊柱畸形的挽救性和重建性手术。
Spine (Phila Pa 1976). 1991 Aug;16(8 Suppl):S412-7.
9
[Surgical treatment for disorders of the cervicothoracic junction region].[颈胸交界区疾病的外科治疗]
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10
[Results of lumbar and lumbosacral fusion: clinical and radiological correlations in 113 cases reviewed at 3.8 years].[腰椎及腰骶椎融合术的结果:113例患者3.8年随访的临床与影像学相关性分析]
Rev Chir Orthop Reparatrice Appar Mot. 2000 Apr;86(2):127-35.

引用本文的文献

1
Biomechanical evaluation of different instrumentation for spinal stabilisation.用于脊柱稳定的不同器械的生物力学评估。
Eur J Orthop Surg Traumatol. 1995 Dec;5(4):265-9. doi: 10.1007/BF02716534.
2
The accuracy of multi-slice three-dimensional computerized tomography on the verification of the pedicle screw trajectory.多层螺旋三维计算机断层扫描在椎弓根螺钉置入轨迹验证中的准确性
Orthop Rev (Pavia). 2009 Oct 10;1(2):e22. doi: 10.4081/or.2009.e22.
3
Verification of the position of pedicle screws in lumbar spinal fusion.腰椎融合术中椎弓根螺钉位置的验证
Eur Spine J. 1997;6(2):125-8. doi: 10.1007/BF01358745.
4
Clinical efficacy of pedicle instrumentation and posterolateral fusion in the symptomatic degenerative lumbar spine.椎弓根内固定及后外侧融合术治疗症状性退变性腰椎疾病的临床疗效
Eur Spine J. 1995;4(4):231-7. doi: 10.1007/BF00303417.