Chabannes J, Floucaud D, Colnet G, Paquet F
Neurochirurgie. 1982;28(4):235-44.
The authors report their experience of spine fusion in the management of fracture dislocations of the thoracic and lumbar spine. In a series of over a hundred surgical stabilization, plate instrumentation alone was orthopedically unsuccessful in 20% of cases after plate removal. Instrumentation is but a tutor, whereas spine fusion is an element which brings definite spine stability. Clinical and roentgenographie results are given. Based on the different types of spine injuries, indication are discussed as well as surgical approach and technique with a possible association of several methods applied to the same patient.
作者报告了他们在胸腰椎骨折脱位治疗中进行脊柱融合的经验。在一系列超过一百例的手术稳定治疗中,仅使用钢板器械固定,在取出钢板后,20%的病例在骨科方面未取得成功。器械固定只是一个辅助手段,而脊柱融合才是带来脊柱明确稳定性的要素。文中给出了临床和X线检查结果。基于不同类型的脊柱损伤,讨论了适应证、手术入路和技术,以及同一患者可能联合应用多种方法的情况。