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題名 | The Clinical Results of Morscher Hook-Screw for the Treatment of Lumbar Spondylolysis=使用Morscher hook-screw治療腰椎椎弓骨折臨床研究報告 |
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作者 | 魯子全; 郭適誠; 譚光還; 蘇忠仁; 郭蓉安; | 書刊名 | 醫學研究 |
卷期 | 20:8 2000.10[民89.10] |
頁次 | 頁449-454 |
分類號 | 416.26 |
關鍵詞 | 椎弓解離症; 椎弓; 植骨; 假性關節; Spondylolysis; Pars interarticularis; Bone graft; Pseudoarthrosis; |
語文 | 英文(English) |
中文摘要 | 本院自1996年起使用Morscher hook-screw治療十位因腰椎椎弓骨骨折的病人,並經長達三年的追蹤臨床結果如下:病人臨床症狀以Henderson評分進步1.5倍,X光片可見60%的癒合率,其中有四位病人X光片仍未見癒合但是在進行鋼釘拔除手術時可見骨折已有明顯的Fibrousunion而無假性關節活動的現象。 使用Morscher hook-screw治療腰椎椎弓骨骨折的病人是一個簡單而有效的方法,但必須選用於年輕及無椎弓滑脫的病人。 |
英文摘要 | This is a retrospective study to evaluate the clinical outcome of patients who, while undergoing repair of pars defects, were treated with the Morscher hook-screw. Ten patients were included in this study. All patients had Type IIA spondylolytic defects with either a Grade 0 or less than Grade I spondylolisthesis. One surgeon performed the operation with a follow-up period, which lasted at least two years. The clinical results were evaluated by Henderson score system and each patient improved an average of 1.5 grade. Radiographic analysis showed failure of healing in 4 patients, and solid fusion of the pars defects in 6 of 10 patients (60%). One case with double level L3 and L5, which showed fusion at L3 and non-union at L5. Three patients revealed radiographic non-union of fracture site, and received a removal of implant, during which we observed a fibrous-union of fracture site but without any formation of pseudoarthrosis. This technique is a simple and effective method for direct repair of spondylolysis. It is only indicated in the case of young ages with pure spondylolysis and slippage of a slight degree. |
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