不同内固定技术在腰骶椎后融合术中的应用（附83例分析）

Different Techniques of Internal Fixation Applied in Lumbosacral Fusion:83 Cases Analysis

自１９８２年以来，应用Ｈａｒｒｉｎｇｔｏｎ骶骨钩法（３２例）、Ｌｕｑｕｅ环法（２６例）、Ｇａｌｖｅｓｔｏｎ法（７例）、Ｓｔｅｆｆｅｅ法（１０例）、Ｄｉｃｋ法（１例）、ＲＦ法（３例）及ＣＤ法（４例）等行腰骶部内固定加植骨融合治疗各种病患８３例，其中麻痹性骨盆倾斜９例，脊柱骨折４例，腰骶结核５例，退行性椎管狭窄２１例，各种原因Ｌ＿５－Ｓ＿１脊椎滑脱３８例，Ｌ＿５－Ｓ＿１椎间盘突出４例，Ｌ＿５半椎体及神经纤维瘤病各１例。平均随访６３．７月，一期获得满意后融合者８２例（占９８．９％），术后不需长期卧床，并发症较少。

Posterior lumbosacral fusion using bone graft without internal fixation requires long immobilization and has high rate of pseudoarthrosis,To overcome such limitation technique of spinal internal fixation has been developed and applied in past twenty years.Since 1982,the authors have done lumbosacral fusion with internal fixation and bone graft by using Harrington alar hook(32 cases),luque ring(26 cases),Galveston technique(7 cases ),Steffee plate(10 cases),Dick pedicle screw(1 cases),RF instrumentation(3 cases)and CD technique(4 cases).Totaly 83 cases have been treated ,which include paraletic pelvic tilt(9 cases),spinal fracture(4 cases),lumbosacral tuberculosis(5 cases),degenerative sdenosis(21 cases);L5-S1 spondylolithesis(38 cases),L5-S1 disc protrusion(4 cases );L5 semivertebra(1 cases) and neurofibromatosis(1 cases).Patients have been follow-up for 63.7months on average. Good fusion has been seen in 82 cases(98.8%).The procedure does not need long immobilization and has less complication.