摘要
目的探讨通过改良的Galveston技术向髂骨内植入髂骨螺钉在脊柱骨盆固定融合术中的疗效。方法 2005年10月-2010年9月在腰骶部肿瘤、结核、陈旧骶骨骨折手术中应用改良Galveston术式进行脊柱-骨盆固定融合术（腰骶髂融合术）10例。男7例,女3例;年龄46-62岁,平均58岁。随访时间10-25个月,平均16个月。通过术前、术后影像学及随访症状缓解标准评价手术效果。结果手术时间190-250分钟,平均210分钟。术中未出现神经血管损伤等并发症。平均出血量1200ml。术后未出现感染、内固定物失败病例。按中华医学会骨科学分会脊柱学组腰背痛手术评定标准评价,优3例,良5例,可1例,优良率达90%。结论通过改良的Galveston技术向髂骨内植入髂骨螺钉在脊柱骨盆固定融合术中可获得满意的临床疗效。
Objective To investigate the efficacy of the modified Galveston technique by implanting iliac screws into the ilia in spine-pelvis immobilization and fusion surgery. Methods 10 cases composed oflumbosacral tumors, tuberculosis and old sacral fractures were treated by modified Galveston technique to immobilize and fuse spine-pelvis （ lumbosacro- iliac fusion ） during October 2005 to September 2010. 7 males and 3 females; age 46 to 62 years, mean 58 years. Follow up 10 to 25 month, average 16 month. Evaluate the effects of surgery using preoperative and postoperative imaging and follow-up remission criteria. Results The operative time was 190 to 250 minute, with an average of 210 minute. Mean blood loss was 1200ml.Neither complications such as nerve and vessel injury occurred during operation, nor does infection or fixation failure post operation. According to clinical outcome judgement criterion of surgical treatment for low back pain formulated by the spine group of Chinese Orthopaedic Association, there was excellent outcome in 3 cases, good in 5 cases, and fair in 1 case, with the excellent and good rate of 90%. Conclusion The modified Galveston technique by implanting screws into the ilia could present satisfactory clinical efficacy in spine-pelvis immobilization and fusion sur- gery.
出处
《生物骨科材料与临床研究》
CAS
2012年第4期39-42,共4页
Orthopaedic Biomechanics Materials and Clinical Study
