Hasegawa K, Homma T, Uchiyama S, Takahashi H E
Department of Orthopaedic Surgery, Niigata University School of Medicine, Ichiban-cho, Japan.
J Bone Joint Surg Br. 1997 May;79(3):452-6. doi: 10.1302/0301-620x.79b3.7457.
We have performed simple bone grafting in four elderly patients with pain due to unstable pseudarthroses in the osteoporotic spine after compression fracture. At operation, we observed abnormal movement of the affected vertebral body which was covered with a hypertrophic membrane; this seemed to inhibit the blood supply to the lesion. The thick membrane and avascular granulation in the false joint were excised and bone grafting carried out. Symptoms were dramatically improved immediately after operation and bony union was confirmed in the three surviving patients.
我们对4例因骨质疏松性脊柱压缩骨折后不稳定假关节导致疼痛的老年患者进行了简单的骨移植。手术中，我们观察到受影响椎体有异常活动，其表面覆盖着一层肥厚的膜；这似乎抑制了病变部位的血液供应。切除了假关节处的厚膜和无血管肉芽组织，并进行了骨移植。术后症状立即得到显著改善，3例存活患者均证实有骨愈合。
