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.
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.
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。
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