用肋骨重建髂嵴以预防供区并发症：26例前瞻性研究。
Reconstruction of iliac crest with rib to prevent donor site complications: A prospective study of 26 cases.
作者信息
Dave Br, Modi Hn, Gupta A, Nanda A
机构信息
Spine Hospital, Mithakhali, Ellisbridge, Ahmedabad, India.
出版信息
Indian J Orthop. 2007 Jul;41(3):180-2. doi: 10.4103/0019-5413.33678.
BACKGROUND
The tricortical bone graft from the iliac crest are used to reconstruct the post corpectomy spinal defects. The donor iliac area defect is large and may give rise to pain at donor site, instability of pelvis, fracture of ilium, donor site muscle herniation or abdominal content herniation. Rib removed during thoracotomy was used by us to reconstruct the iliac crest defect.
MATERIALS AND METHODS
Twenty-six patients who underwent thoracotomy for dorsal spine corpectomy or curettage for various spinal pathologies from June 2002 to May 2004 were included in the study. After adequate decompression the spine was reconstructed by tricortical bone graft from iliac crest and reconstruction of the iliac crest was done with the rib removed for exposure during thoracotomy.
RESULTS
The mean follow up was 15 months. All patients had good graft incorporation which was evaluated on the basis of local tenderness and radiographs. One patient had graft displacement.
CONCLUSION
The reconstruction of iliac crest by rib is a simple and effective procedure to prevent donor site complications.
背景
取自髂嵴的三层皮质骨移植片用于重建椎体切除术后的脊柱缺损。供体髂骨区域缺损较大，可能导致供体部位疼痛、骨盆不稳定、髂骨骨折、供体部位肌肉疝或腹腔内容物疝。我们使用开胸手术中切除的肋骨来重建髂嵴缺损。
材料与方法
纳入2002年6月至2004年5月期间因胸椎椎体切除或各种脊柱病变刮除术而接受开胸手术的26例患者。充分减压后，用取自髂嵴的三层皮质骨移植片重建脊柱，并用开胸手术中为暴露而切除的肋骨重建髂嵴。
结果
平均随访15个月。所有患者的移植骨融合良好，根据局部压痛和X线片进行评估。1例患者移植骨移位。
结论
用肋骨重建髂嵴是预防供体部位并发症的一种简单有效的方法。
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