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带第四腰动脉蒂髂骨瓣植骨治疗腰椎不稳

Hits: 1933 Download times: 1372 Received:November 08, 1999 Revised:April 05, 2000

作者	Author	单位	Unit	E-Mail
李书奎	LI Shu kui	沧州市中心医院,河北沧州061001	Center Hospital of Cangzhou Hebei Cangzhou,061001
李建博	LI Jian bo	沧州市中心医院,河北沧州061001	Center Hospital of Cangzhou Hebei Cangzhou,061001
李民	LI Min	沧州市中心医院,河北沧州061001	Center Hospital of Cangzhou Hebei Cangzhou,061001
杨洪泉		沧州市中心医院,河北沧州061001	Center Hospital of Cangzhou Hebei Cangzhou,061001
李亚洲		沧州市中心医院,河北沧州061001

期刊信息：《中国骨伤》2001年14卷，第5期，第270-271页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：探讨应用带第四腰动脉蒂植骨治疗腰椎不稳的手术方法和适应证。

方法：本组腰椎不稳病人16例,将带第四腰动脉蒂髂骨瓣用松质骨螺丝钉固定于需融合节段腰椎的椎弓根,对侧椎板或横突间植骨融合。

结果：术后随访8个月至6年,平均28年,根据李稔生的疗效评价标准：优13例,良2例,可1例。

结论：应用带第四腰动脉蒂髂骨瓣植骨融合治疗腰椎不稳手术简单。

[关键词]:骨移植外科皮瓣腰椎

Treatment of lumbar spinal instability with iliac bone flap pedicled with the fourth lumbar artery

Abstract:

Objective:To describe a method for the treatment of lumbar spinal instability using iliac bone flap pedicled with the fourth lumbar artery.

Methods: 16 cases of lumbar spinal instability were treated with iliac bone flaps pedicled with the fourth lumbar artery.The fixation was done with spongy screw on the pedicles of lumbar vertebral segment to be fused.Bone grafting and fusion of contralateral vertebral lamina or intertransverse was performed.

Results: The cases were followed up from 8 months to 6 years,with an average of 2.8 years.According to Li’s evaluation criterion,excellent results were obtained in 13 cases,good in 2 and fair in 1.

Conclusion:This operation method is simple and effective for the treatment of lumbar spinal instability.

KEYWORDS:Bone grafting Surgery skin flap Lumbar vertebrae

引用本文，请按以下格式著录参考文献：

中文格式:	李书奎,李建博,李民,杨洪泉,李亚洲.带第四腰动脉蒂髂骨瓣植骨治疗腰椎不稳[J].中国骨伤,2001,14(5):270~271
英文格式:	LI Shu kui,LI Jian bo,LI Min.Treatment of lumbar spinal instability with iliac bone flap pedicled with the fourth lumbar artery[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(5):270~271

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