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颈前路减压自体髂骨植骨术供区晚期并发症的临床观察 被引量:5

Clinical observation of complications at iliac crest bone graft donor sites for anterior cervical fusion
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摘要 目的观察颈前路减压自体髂骨植骨术供区的晚期并发症并分析相关因素。方法16例颈椎伤病患者行颈前路减压自体髂骨植骨术。髂前上棘后2~3cm处沿髂嵴向后作切口,取全层髂骨。切口置半管引流,加压包扎2~3d,24~48h拔除引流管。术后24h可在颈托保护下坐起或下地活动。结果全部病例随访6~84个月,平均154个月。供区严重并发症3例,占188%。结论颈前路减压自体髂骨植骨术供区并发症将对患者工作生活造成明显影响,不容忽视。临床上应重视取骨手术技巧及颈椎伤病新术式新材料的应用以减少或杜绝供区并发症的发生。 Objective:To observe the complications at iliac crest bone graft donor sites for anterior cervical decompression and analyze the facts Method:Sixteen cases of cervical injury and cervical spondylosis were operated for anterior cervical decompression and fusion with autogenous bone graft of iliac crest The skin incision begins 2~3cm behind the anterior superior spine of the ilium and arches backwards The graft bone was taken as a block which included both cortices The drainage semitube was placed for twenty four to forty eight hours A firm bandage was applied over gauze dressings for two to three days Usually the patient may be allowed out of bed with cervical brace after twenty four hours Result:All patients were followed up for an average of 15 4 months(ranged 6~84 months) Severe complications at donor site occurred in 3 cases(18 8%) Conclusion:The complications at iliac crest bone graft donor sites for anterior cervical fusion would affect the patient’s work and life significantly Operative technique,new operative method and new material for anterior cervical decompression should be considered highly in clinic
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出处 《中国矫形外科杂志》 CAS CSCD 2004年第21期1615-1616,共2页 Orthopedic Journal of China
关键词 骨移植 供区并发症 颈前路融合 Bone graft Complications at donor sites Anterior cervical fusion
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参考文献4

  • 1Knuz LT, Carfin SR, Booth RE, et al. Harvesting autogenous iliac bone grafts: a review of complications and technique [J]. Spine, 1989,14:1324 ~ 1331.
  • 2Banwart JC, Asher MA, Hassanein RS. Iliac crest bone graft harvest donor site morbidity: a statistical evaluation [J]. Spine, 1995,20:1055 ~ 1060.
  • 3Younger EM, Chapman MW. Morbidity at bone graft donor sites[J]. J Orthop Trauma, 1989,3:192.
  • 4石志才,贾连顺,李家顺,袁文,倪斌.颈椎前路减压术自体髂骨移植的并发症(附451例临床报告)[J].中国矫形外科杂志,1998,5(3):197-199. 被引量:16

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