隋国侠;陈乃旺;张扬;庄青山;徐兆万;

• 1:潍坊市人民医院脊柱外科

摘要(Abstract)：

[目的]介绍一种治疗青少年腰椎峡部裂的手术方法。[方法]回顾性研究本科2008～2016年收治的36例峡部裂患者,年龄11～31岁,平均(21.52±6.76)岁。术中均采用Wiltse肌间隙入路暴露关节突关节、椎板,处理峡部断端,切除两侧约2.0 mm硬化的骨质,准备新鲜植骨床,取带有外板的髂骨块处理成"T"字形,轻敲嵌入处理后的峡部断端植骨床。于病椎置入椎弓根螺钉,放置椎板钩并与螺钉连接加压固定。[结果]手术时间1～2 h,失血量100～230 ml,术后随访12～36个月,平均(18.23±4.26)个月,腰背部疼痛VAS评分末次随访(1.32±0.26)分,明显低于术前,所有修复的72个峡不连部位在术后3个月达到一期愈合,无内固定松动及断裂患者,疗效根据Nakai评分标准评定,优良率为100%。[结论] Wiltse肌间隙入路操作简单,术中创伤小、出血少、术后腰背部疼痛轻,峡部"T"字植骨重建、钉钩加压内固定重建峡部稳定性好,骨性愈合率高,

关键词(KeyWords)： 腰椎;峡部裂;骨移植;外科治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 隋国侠;陈乃旺;张扬;庄青山;徐兆万;

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参考文献(References)：

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