骶骨切除术后的稳定问题。

The problem of stabilization after sacrectomy.

作者信息

Blatter G, Halter Ward E G, Ruflin G, Jeanneret B

机构信息

Klinik für Orthopädische Chirurgie, Kantonsspital St Gallen, Switzerland.

出版信息

Arch Orthop Trauma Surg. 1994;114(1):40-2. doi: 10.1007/BF00454735.

DOI:10.1007/BF00454735

PMID:7696048

Abstract

After sacrectomy, mobilization of the patient is only possible if a stable connection between the spine and pelvis can be obtained. We have developed an instrumentation to fix the pelvis to the spine. Two DHS screws connected to each other were implanted in the pelvis (one DHS screw into each ilium). An internal spine fixator, anchored in L3 and L4 through transpedicular Schanz screws, was attached to these DHS screws. Two patients were stabilized with this implant after sacrectomy. One patient was able to walk with crutches; the other patient was able to walk even without crutches.

摘要

骶骨切除术后，只有在脊柱与骨盆之间能够建立稳定连接的情况下，患者才有可能进行活动。我们研发了一种将骨盆固定于脊柱的器械。在骨盆中植入两根相互连接的动力髋螺钉（DHS螺钉）（每侧髂骨各植入一枚DHS螺钉）。通过椎弓根斯氏针固定于L3和L4的脊柱内固定器与这些DHS螺钉相连。两名患者在骶骨切除术后使用该植入物实现了稳定。一名患者能够借助拐杖行走；另一名患者甚至无需拐杖就能行走。