腰椎峡部裂和滑脱症外科治疗的探讨

Surgical treatment of spondylolysis and spondylolisthesis

中文关键词:  腰椎 脊柱裂 椎弓峡部不连 固定术

英文关键词:Spondylolysis,Spondylolisthesis,Bone grafting,Internal fixation,Fusion,

中文摘要:

  报告自１９６５～１９９１年９２例有症状的腰椎峡部裂和滑脱的外科治疗。１９６５～１９７１年采用经腹椎体间前植骨融合２２例； １９７１～１９７８年采取腹膜外入路椎间植骨融合或Ｒｏｍｂｏｌｄ法后外侧融合术２０例；１９８７～１９９１年峡部裂处植骨、螺钉和横突钢丝内固定１５例，短节段经椎寻根内固定３５例，其中改良Ｄｉｃｋ法７例．Ｓｔｅｆｆｅｅ槽式钢板２８例，同时行后外侧融合。作者认为，症状性的腰椎峡部裂或轻微滑脱，峡部可直接修整植骨、螺钉和横突钢丝固定。滑脱椎可采用经椎弓根Ｓｔｅｆｆｅｅ槽式钢板螺钉得到完全或部分复位．

英文摘要:

  From 1965 to 1991, 92 patients who had symptomatic spondylolysis or spondylolisthesis were operated with the through abdominal intervertebral fusion in 22 cases (1965- 1971), extraperitoneal approach or Rombold posterolateral fusion for 20 cases (1971-197