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采用椎板间固定装置对双侧无移位峡部裂进行手术治疗。

Surgical treatment of bilateral nondisplaced isthmic lysis by interlaminar fixation device.

作者信息

Mostofi Keyvan, Khouzani Reza Karimi

机构信息

Department of Neurosurgery, Clinical Center of Soyaux, Soyaux, France.

Department of Neurosurgery, Clinical Center of Rottal-Inn, Bavaria, Germany.

出版信息

J Craniovertebr Junction Spine. 2017 Jul-Sep;8(3):239-242. doi: 10.4103/jcvjs.JCVJS_78_17.

DOI:10.4103/jcvjs.JCVJS_78_17
PMID:29021675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5634110/
Abstract

STUDY DESIGN

Spondylolysis is a defect in the portion of pars interarticularis. The latter affects approximately 6% of the population. It is caused by repetitive trauma in hyperextension. Low back pain is the most common symptom.

METHODS

We implanted interspinous process devices in 12 patients with isthmic lysis without spondylolisthesis for low back pain. The purpose of the surgery was to conduct a minimally invasive procedure.

RESULTS

In eight cases, patients became asymptomatic. In two cases, there has been a considerable improvement. In two cases, no change had been noted.

CONCLUSION

This good result motivates us to consider this approach a part of therapeutic arsenal for some cases of spondylolysis.

摘要

研究设计

峡部裂是关节突间部的一种缺损。后者影响约6%的人群。它由反复的过伸性创伤引起。腰痛是最常见的症状。

方法

我们为12例无椎体滑脱的峡部裂性腰痛患者植入棘突间装置。手术目的是进行微创手术。

结果

8例患者无症状。2例有显著改善。2例无变化。

结论

这一良好结果促使我们将这种方法视为某些峡部裂病例治疗手段的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ab/5634110/ec6ef083dae4/JCVJS-8-239-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ab/5634110/d7d21cfaa6e7/JCVJS-8-239-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ab/5634110/ec6ef083dae4/JCVJS-8-239-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ab/5634110/d7d21cfaa6e7/JCVJS-8-239-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ab/5634110/ec6ef083dae4/JCVJS-8-239-g003.jpg

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本文引用的文献

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Controversies about interspinous process devices in the treatment of degenerative lumbar spine diseases: past, present, and future.棘突间装置治疗退变性腰椎疾病的争议：过去、现在与未来
Biomed Res Int. 2014;2014:975052. doi: 10.1155/2014/975052. Epub 2014 Apr 13.
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Lumbo-sacral motion conserved after isthmic reconstruction: long-term results.峡部重建术后腰骶部运动得以保留：长期结果
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The incidence of spondylolysis and spondylolisthesis in nonambulatory patients.非行走患者中椎弓根峡部裂和椎体滑脱的发病率。
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