| 摘要: |
| 目的 总结线缆（该线缆由美国KINAMED,INC.生产的SuperCable Iso_elastic环扎聚合物线缆。产地在美国，中国总代理：艾文泰上海商业有限公司。以下同）张力带固定术治疗腰椎峡部裂的临床疗效，探讨线缆张力带固定术的可行性及有效性。方法2011年5月至2013年5月共收12例L4和L5腰椎峡部患者。12例均为男性；年龄18-22岁，平均年龄19.5岁。均未伴腰椎滑脱。所有患者采用艾文泰线缆张力带固定及峡部植骨术治疗,术后3、6、9、12个月进行了随访。结果 无一例出现手术并发症及后遗症,未发现继发性腰椎滑脱。达到骨愈合标准者为11例，骨愈合率为91.7%，9例达到健康队员训练强度。末次随访时疗效评价，优9例，良2例，可1例，优良率91.7%。结论 线缆张力带固定治疗腰椎峡部裂是疗效确实、操作简单、损伤小、生物相容性好的方法。对预防腰椎滑脱，促进腰椎峡部裂的局部骨折愈合，改善其腰部症状有着积极的意义。 |
| 关键词: 腰椎峡部裂 骨折固定术 线缆张力带 青年 |
| DOI：10.3724/SP.J.1008.2015.01156 |
| 投稿时间：2015-03-17修订日期：2015-05-13 |
| 基金项目:全军医药科研"十五"规划课题(10MA116). |
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| Tension band wiring fixation for the treatment of young patients with lumbar spondylolysis |
| LIN Jian*,LI Hong-zhi,LIU Jian-chun |
(Department of Orthopadeic, No.442 Clinical Center of Fuzhou General Hospital, PLA Nanjing Military Area Command, Ningde 352100, Fujian, China
*Corresponding author.) |
| Abstract: |
| Objective: To summarize the cable tension band fixation for the treatment of the clinical effect of lumbar spondylolysis, to explore the feasibility and effectiveness of the cable tension band fixation. Methods: in 2011 May to 2013 May received a total of 12 cases of L4 and L5 in patients with lumbar spondylolysis. 12 cases were male; age 18---22 year old, average age is 19.5 years old. Were not associated with lumbar spondylolisthesis. All the patients were Ai Wentai cable tension band fixation and isthmic bone grafting treatment, after 3, 6, 9, 12 months of follow-up. Results: there were no operation complications and sequelae, no secondary lumbar spondylolisthesis was found. Reached the standard of bone healing in 11 cases, bone healing rate was 91.7%, 9 cases achieved healthy players training intensity. At the last follow-up evaluation of curative effect, excellent in 9 cases, good in 2 cases, 1 cases, the excellent and good rate was 91.7%. Conclusion: the cable tension band fixation for the treatment of lumbar spondylolysis is effective, simple operation, little injury and good biological compatibility method. On the prevention of lumbar spondylolisthesis, promote the local fracture of lumbar spondylolysis Union, has a positive meaning to improve the symptoms of waist. |
| Key words: lumbar spondylolysis fracture fixation tension band wiring youth |
