Hartman J T, McCarron R F, Robertson W W
Clin Orthop Relat Res. 1983 Sep(178):223-7.
An iliac crest bone graft with an intact quadratus lumborum muscle pedicle was devised for the surgical repair of symptomatic pseudarthroses in failed lumbosacral spinal fusions. The graft and pedicle are rotated into a paraspinous bed and internally fixed to the spine. The preliminary results are presented in 12 patients in whom operations were performed under the direction of a single surgeon. The follow-up periods averaged 39 months (range, 8-68 months). Eleven patients demonstrate radiologic evidence of union, and nine subjectively report improvement of symptoms. Five complications occurred in four patients. Two superficial infections quickly resolved with appropriate therapy. One patient had neural foraminal encroachment from an internal fixation device, necessitating its early removal. In a fourth patient major complications of a deep infection and an incisional hernia were successfully treated. Iliac pedicle grafting is an alternative stabilization procedure for use in a select group of patients with disabling pain and previous failed spinal fusion.
设计了一种带完整腰方肌蒂的髂嵴骨移植术，用于手术修复腰骶部脊柱融合失败后出现症状的假关节。将移植骨和肌蒂旋转至椎旁床并在脊柱上进行内固定。本文报告了在一位外科医生指导下对12例患者进行手术的初步结果。随访期平均为39个月（范围8 - 68个月）。11例患者有影像学上的骨愈合证据，9例患者主观报告症状改善。4例患者出现了5种并发症。2例表浅感染经适当治疗后迅速痊愈。1例患者因内固定装置导致神经孔受压，需尽早取出内固定。第4例患者的深部感染和切口疝等严重并发症得到了成功治疗。髂骨肌蒂移植术是一种可供选择的稳定手术方法，适用于一组有严重疼痛且既往脊柱融合失败的特定患者。
