摘要
目的 研究颈椎前路融合术中 ,植入骨长度对减压效果的影响。方法 采用前路环锯截骨、长窗减压 ,在牵引下植入自体长条形髂骨。结果 在前路环锯截骨植入自体髂骨手术中 ,截骨节段在 2个或以上的病例 ,植入骨长度和骨槽长度之差作出调整后 ,治疗效果优于传统的植入骨长度比骨槽长 1～ 2mm的病例。结论 颈椎前路融合术中 ,截骨数目为 1个节段时 ,植入骨应比骨槽长 2mm ;截骨数目为 2个节段时 ,植入骨应比骨槽长 4mm ;截骨数目为 3个节段时 ,植入骨应比骨槽长 5mm。
Objective To study the effect of the length of grafted bone on decompression results during anterior cervical spinal fusion.[HT5”H]Methods [HT5”SS]After anterior trephination osteotomy and decompression,long auto bone graft was obtained from the ilium and was grafted under traction. [HT5”H]Results [HT5”SS]After adjusting the difference between the length of grafted bone and the length of bone tank,the cases with osteotomy in more than two vertebral segments had good clinical results which were much better than that obtained with the conventional methods.Conclusion When osteotomy has been done on one vertebral segment,the length of grafted bone should be longer than bone tank by 2mm.If the procedure is done on two segments,the difference should be 4mm,and on three segments,it should be 5mm.
出处
《中国骨伤》
CAS
2000年第3期139-140,共2页
China Journal of Orthopaedics and Traumatology
