Tiusanen H, Seitsalo S, Osterman K, Soini J
Orthopedic Hospital of the Invalid Foundation, Helsinki, Finland.
J Spinal Disord. 1996 Oct;9(5):433-8.
The aim of this study was to see whether results of anterior interbody lumbar fusion could be improved with the help of an external transpedicular device. Anterior interbody lumbar fusion was carried out in 83 patients, using the technique described by Suzuki. Fifty-six (67%) patients were fused with the Magerl-Schläpfer external fixator device as a posterior support. Twenty-seven patients had interbody fusion and a conventional plastic brace for support. The clinical and radiological results of anterior interbody lumbar fusion were compared between these groups. The mean follow-up time was 5 (range, 2-10) years. A total of 128 levels were fused. There were no statistical differences in the clinical and radiological results between patients fused with or without the external fixator. There were many complications associated with the use of an external fixator device. We do not recommend the use of an external fixator in anterior interbody lumbar fusion.
本研究的目的是观察在外部经椎弓根装置的辅助下，腰椎前路椎间融合术的效果是否能得到改善。采用铃木描述的技术，对83例患者实施了腰椎前路椎间融合术。56例（67%）患者使用马格尔-施莱普费尔外部固定器装置作为后方支撑进行融合。27例患者进行了椎间融合并使用传统塑料支具进行支撑。对这些组之间腰椎前路椎间融合术的临床和影像学结果进行了比较。平均随访时间为5年（范围2 - 10年）。总共融合了128个节段。使用或未使用外部固定器的患者在临床和影像学结果上无统计学差异。使用外部固定器装置会出现许多并发症。我们不建议在腰椎前路椎间融合术中使用外部固定器。
