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使用牵引棒时的脊柱后路融合问题(作者译)

[The problem of dorsal spondylodesis while using traction rods (author's transl)].

作者信息

Thomas W

出版信息

Z Orthop Ihre Grenzgeb. 1981 Oct;119(5):535-9. doi: 10.1055/s-2008-1053330.

Abstract

Functional and morphological disturbances of health at the vertebral column lead to instability, dislocation and reduction of intervertebral distance in the mobile segment. A safe therapy to remove these changes must aim at achieving three goals: 1. Re-establishment of stability 2. Repositioning of slipped disks and 3. Re-establishment of intervertebral distance. Especially in spondylolisthesis, results are often unsatisfactory. Even if dorsal traction rods are used, the intervertebral bodies will often slip due to uncoupling in the vertebral joints. This situation can be avoided by effecting together with the introduction of bone blocks. This procedure enables satisfactory repositioning, full restoration of intervertebral distance and permanent restoration of stability.

摘要

脊柱健康的功能和形态紊乱会导致活动节段不稳定、脱位以及椎间隙变窄。消除这些变化的安全治疗方法必须旨在实现三个目标:1. 恢复稳定性;2. 使滑脱的椎间盘复位;3. 恢复椎间隙。特别是在椎体滑脱的情况下,结果往往不尽人意。即使使用了背侧牵引棒,由于椎间关节的解耦,椎体通常仍会滑动。通过植入骨块可以避免这种情况。此手术能够实现令人满意的复位、完全恢复椎间隙以及永久恢复稳定性。

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