摘要
目的 :分析胸腰椎椎弓根钉并发症的原因 ,找到更好的预防措施。方法 :回顾性分析 1999年 1月～ 2 0 0 0年3月 6 0例接受胸腰椎椎弓根钉内固定手术的患者 ,共 2 6 4枚椎弓根钉 ;并对其中 12名术后有不适症状 ,共 6 0枚椎弓根钉 ,做了X线片及CT扫描对比分析。结果 :本组病例接受椎弓根钉内固定术的并发症的发病率为 2 0 %。腰背痛 4例 ,下肢感觉麻木、酸胀 3例 ,下肢放射痛 2例 ,肌力减弱 1例 ,异物排斥反应、伤口不愈 2例。因椎弓根钉内固定技术不正确或不规范而导致的失误 :X线片发现 4例 8枚 ,CT片发现 12例 2 3枚。结论 :胸腰椎椎弓根钉内固定术的并发症并非少见。通过术后X线片 ,尤其CT扫描检查 ,可以在影像学上找到直接原因 ,必要时二次手术解决。选择合适的、可靠的内固定物及工具 ,规范、严格地手术操作 ,并发症会降低。
Objective: To analyze the complication associated with the pedicle screw fixation in the thoracolumbar disease, looking for theprevention of the complications.Methods: The authors reviewed 60 cases who were fixated with pedicle screw in thoracolumbar disease from Jan.1999 to March 2000,included 264 screws;and contrastively analysis 12 cases with discomfort by X-ray and CT,included 60 screws.Results: The complication rate was 20%.There were 4 cases pain in the back,3 cases anesthesia and ache in the lower limbs,2 cases radioactive pain in the lower limbs,1 case muscular power weakened,2 wounds did not healed.The mistakes which associated with the technique of pedicle screw fixation were found through roentgenography.There were 8 screws of 4 cases by X-ray,there were 23 screws of 12 cases by CT.Conclusion The complication associated with the pedicle screw fixation was not a few.It could be found directly cause through roentgenography and it should be reoperated ,if it was necessary.It will depress the complication if you choose a suitable,credible appliance and tools,and do a standard strict operation.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第4期334-336,共3页
Orthopedic Journal of China
关键词
胸腰椎
椎弓根
并发症
Thoracolumbar
Pedicle screw
Complication
