摘要
目的：探讨脊柱疾患内固定术后内固定物断裂及松动的原因与对策。方法：报告脊柱疾患术后发生内固定物断裂或松动的27例患者的临床资料及内固定断裂后的疗法。结果：所有患者随访2～5 a,平均3.5 a,无椎体塌陷,无内固定再断裂,翻修术后的患者疼痛、畸形、神经症状明显改善。结论：针对患者的具体情况选用合适的内固定器材,术中充分植骨,适时取出内固定材料以及术后根据情况配合外固定能有效地预防脊柱内固定物的断裂。一旦发生内固定物的断裂应该根据具体情况及时处理,可获得较好的预后。
Objective：To study the causes and countermeasures of postoperative loosening,breakage of internal fixators in spinal diseases. Methods ：To report the clinical datas of 27 cases with postoperative loosening ,breakage of internal fixators after spinal diseases. Results：All the cases were followed up from 2 years to 5 years （mean of 3.5 years）, there were no collapse of vertebra or re-breakage of internal fixators,meanwhile,the pain,deformity, nerve complaint were released obviously. 27 cases of internal fixators loosened or ruptured. Conclusions ：Customerized internal fixation, sufficient bone graft,removal of the implant timely and external fixators protection during postoperative rehabilitation are valuable procedures for prevention of implant failure. Proper management according to different situation often resuits in a better prognosis once the internal fixations broke.
出处
《中国误诊学杂志》
CAS
2008年第12期2782-2784,共3页
Chinese Journal of Misdiagnostics
关键词
脊柱疾病/外科学
骨折固定术
内
随访研究
人类
Spinal Diseases/surgery
Fracture Fixation, Internal
Follow-Up Studies
Humans
