训练伤致单纯腰椎峡部裂的诊断与治疗

The diagnosis and treatment of the lumbar spondyloysis in training injury

目的 观察椎板拉力螺丝钉复位固定加植骨融合治疗单纯腰椎椎弓峡部裂临床疗效.方法 2002年4月～2012年4月收治该患者63例资料齐全,对63例训练伤致单纯腰椎峡部裂患者采用后路减压椎板拉力螺丝钉复位固定取自体髂骨植骨融合治疗,随访时观察患者的疗效,椎间是否融合,滑脱是否复发,测量术前、术后及随访时固定椎间隙的高度变化.结果 随访12～48个月,平均24个月.63例椎间完全融合,57例术后疼痛完全消失,有6例尚有不同程度的疼痛.1年后取出内固定螺钉骨折愈合率92%,所有患者植骨获得骨性愈合,未见假关节形成.结论 后路减压椎板拉力螺丝钉复位固定取自体髂骨植骨融合治疗单纯腰椎峡部裂疗效确实可靠,手术操作简单,安全经济,易于在基层部队医院推广.

Objective To investigate the effect of the screw fixation, intervertebralbone graft to cure lumbar spondylolys- is. Methods Apr. 2002 to Apr. 2012 we calmed this kind ofpatients 63 cases, the spinous process laminectomy taken down en- bloc, RF fixation, decompressed the nerve roots, dissectomy, lumbar spondylolysis reduction, interbody fusion, spinous process laminectomy in situ replantation. We followed up the curative effec, t the intervertebral whether fuses, slideswhether recurs, and the heightof the intervertebral space changes at the time ofpreoperative, postoperative and follow-up visit. Results Follow-up 12 to 48 months, with an average of 24 months. 63 cases interbody fusion completely, 57 cases preoperative pain completely disap- peared, 6cases remain varying degrees of pain. Conclusion The screw fixation, intervertebralbone graft to cure lumbar spondylol- ysis have a reliable curative effect, and a simplicity operator, can be poprlarized in primary level units.