• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

峡部裂性脊椎滑脱症病例中的长髂骨螺钉固定术

Long iliac screw fixation in a case of isthmic spondyloptosis.

作者信息

Vilela Marcelo D, Braga Bruno P, Pedrosa Hugo A S

机构信息

Department of Neurosurgery, Hospital Mater Dei, Belo Horizonte, Brazil.

Department of Neurosurgery, University of Washington, Seattle, Washington, USA.

出版信息

Surg Neurol Int. 2017 Jun 13;8:110. doi: 10.4103/sni.sni_122_17. eCollection 2017.

DOI:10.4103/sni.sni_122_17
PMID:28680729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5482161/
Abstract

BACKGROUND

We report the case of a patient with a spondyloptosis who presented with progressive deformity and worsening neurological deficits. The patient had two previous lumbosacral instrumented fusions.

CASE DESCRIPTION

A salvage revision surgery was performed, in which long iliac screws along with anterior column support at L5-S1 were used to immobilize the lumbosacral junction. Two years after the procedure a solid fusion is seen along with marked neurological improvement.

CONCLUSIONS

Pelvic fixation using long iliac screws is a very useful technique that can be employed when revision surgery for high-grade spondylolisthesis is needed.

摘要

背景

我们报告一例腰椎滑脱患者，该患者出现进行性畸形和神经功能缺损恶化。该患者此前接受过两次腰骶部器械融合手术。

病例描述

进行了挽救性翻修手术，术中使用长髂骨螺钉并在L5-S1处进行前柱支撑，以固定腰骶关节。术后两年可见牢固融合，神经功能明显改善。

结论

使用长髂骨螺钉进行骨盆固定是一种非常有用的技术，当需要对高度腰椎滑脱进行翻修手术时可采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/bfcc4ee489ab/SNI-8-110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/25a9a3123764/SNI-8-110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/1c32d1252564/SNI-8-110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/bfcc4ee489ab/SNI-8-110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/25a9a3123764/SNI-8-110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/1c32d1252564/SNI-8-110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55f/5482161/bfcc4ee489ab/SNI-8-110-g003.jpg

相似文献

1
Long iliac screw fixation in a case of isthmic spondyloptosis.峡部裂性脊椎滑脱症病例中的长髂骨螺钉固定术
Surg Neurol Int. 2017 Jun 13;8:110. doi: 10.4103/sni.sni_122_17. eCollection 2017.
2
Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws.使用S1和髂骨螺钉进行骶骨盆固定和L5-S1融合的至少2年分析。
Spine (Phila Pa 1976). 2001 Sep 15;26(18):1976-83. doi: 10.1097/00007632-200109150-00007.
3
Etiology and revision surgical strategies in failed lumbosacral fixation of adult spinal deformity constructs.成人脊柱畸形后路内固定失败的病因和翻修手术策略。
Spine (Phila Pa 1976). 2011 Sep 15;36(20):1701-10. doi: 10.1097/BRS.0b013e3182257eaf.
4
Utilization of iliac screws and structural interbody grafting for revision spondylolisthesis surgery.髂骨螺钉及结构性椎间植骨在腰椎滑脱翻修手术中的应用
Spine (Phila Pa 1976). 2005 Mar 15;30(6 Suppl):S88-96. doi: 10.1097/01.brs.0000155562.60754.62.
5
Posterior Transpedicular Fibular Grafts and Interferential Screws for the Surgical Treatment of L5-S1 Spondyloptosis: Case Report of Four Patients With 8.5 Years' Follow-Up.后路经椎弓根腓骨移植及加压螺钉治疗L5-S1椎体滑脱：4例患者8.5年随访的病例报告
Spine Deform. 2013 Jul;1(4):306-312. doi: 10.1016/j.jspd.2013.05.012. Epub 2013 Aug 2.
6
Lumbosacral Junctional Failures After Long Spinal Fusion for Adult Spinal Deformity-Which Vertebra Is the Preferred Distal Instrumented Vertebra?成人脊柱畸形长节段脊柱融合术后腰骶连接部失败——哪个椎体是首选的远端固定椎体？
Spine Deform. 2016 Sep;4(5):378-384. doi: 10.1016/j.jspd.2016.03.001. Epub 2016 Aug 21.
7
Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity.对使用骶骨盆固定术（双侧S1和髂骨螺钉）治疗脊柱畸形的L5-S1融合术进行至少5年的分析。
Spine (Phila Pa 1976). 2006 Feb 1;31(3):303-8. doi: 10.1097/01.brs.0000197193.81296.f1.
8
Biomechanical comparison of iliac screws versus interbody femoral ring allograft on lumbosacral kinematics and sacral screw strain.髂骨螺钉与椎间股骨环同种异体移植对腰骶部运动学及骶骨螺钉应变的生物力学比较
Spine (Phila Pa 1976). 2010 Mar 15;35(6):E198-205. doi: 10.1097/BRS.0b013e3181c142bf.
9
Iliac screws may not be necessary in long-segment constructs with L5-S1 anterior lumbar interbody fusion: cadaveric study of stability and instrumentation strain.髂骨螺钉在 L5-S1 前路腰椎椎间融合的长节段结构中可能不是必需的：稳定性和器械应变的尸体研究。
Spine J. 2019 May;19(5):942-950. doi: 10.1016/j.spinee.2018.11.004. Epub 2018 Nov 9.
10
Treatment of symptomatic spondyloptosis in an adult previously treated with in situ fusion and instrumentation by L5 vertebrectomy and L4-S1 instrumented reduction.对于一名曾接受过原位融合和器械固定治疗的成年人，通过L5椎体切除术和L4-S1器械复位来治疗症状性脊柱滑脱。
Spine J. 2007 Jan-Feb;7(1):100-5. doi: 10.1016/j.spinee.2006.04.002. Epub 2006 Nov 20.

引用本文的文献

1
Historical Perspectives on the Evolution of Spino-Pelvic Fixation and its Implications on Clinical Care A Narrative Review.脊柱骨盆固定术演变的历史视角及其对临床护理的影响：一项叙述性综述
Global Spine J. 2025 Jan;15(1):228-240. doi: 10.1177/21925682241283726. Epub 2024 Sep 11.

本文引用的文献

1
Optimizing iliac screw fixation: a biomechanical study on screw length, trajectory, and diameter.优化髂骨螺钉固定：螺钉长度、轨迹和直径的生物力学研究。
J Neurosurg Spine. 2011 Feb;14(2):219-25. doi: 10.3171/2010.9.SPINE10254. Epub 2010 Dec 24.
2
Feasibility of minimally invasive sacropelvic fixation: percutaneous S2 alar iliac fixation.微创骶骨盆固定的可行性：经皮 S2 髂翼固定。
Spine (Phila Pa 1976). 2010 Feb 15;35(4):460-4. doi: 10.1097/BRS.0b013e3181b95dca.
3
The effect of screw length and bone cement augmentation on the fixation strength of iliac screws: a biomechanical study.
螺钉长度和骨水泥强化对髂骨螺钉固定强度的影响：一项生物力学研究。
J Spinal Disord Tech. 2009 Dec;22(8):545-50. doi: 10.1097/BSD.0b013e3181929e0c.
4
Complications associated with surgical stabilization of high-grade sacral fracture dislocations with spino-pelvic instability.伴有脊柱骨盆不稳定的高位骶骨骨折脱位手术固定相关并发症。
Spine (Phila Pa 1976). 2006 May 15;31(11 Suppl):S80-8; discussion S104. doi: 10.1097/01.brs.0000217949.31762.be.
5
Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity.对使用骶骨盆固定术（双侧S1和髂骨螺钉）治疗脊柱畸形的L5-S1融合术进行至少5年的分析。
Spine (Phila Pa 1976). 2006 Feb 1;31(3):303-8. doi: 10.1097/01.brs.0000197193.81296.f1.
6
Utilization of iliac screws and structural interbody grafting for revision spondylolisthesis surgery.髂骨螺钉及结构性椎间植骨在腰椎滑脱翻修手术中的应用
Spine (Phila Pa 1976). 2005 Mar 15;30(6 Suppl):S88-96. doi: 10.1097/01.brs.0000155562.60754.62.
7
Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations.腰骶部固定中经髂螺钉置入的解剖学和影像学考量
J Spinal Disord Tech. 2002 Jun;15(3):199-205; discussion 205. doi: 10.1097/00024720-200206000-00005.
8
Biomechanical analysis of lumbosacral fixation.腰骶部固定的生物力学分析
Spine (Phila Pa 1976). 1992 Aug;17(8 Suppl):S235-43. doi: 10.1097/00007632-199208001-00004.