Combined Translaminal Facet Screw fixation and Inter-spinous Process Fusion (H-graft) Techniques in Lumbar Spinal Fusion.
スポンサーリンク
概要
- 論文の詳細を見る
There have been reports of several complications such as neuologic injury due to inaccurate pedicular screw insertion, breakage of the screw or rods and loosening of the screws using transpedicular screw instrumentation.With a safer and easier technique to achieve a solid stabilization, as in transpeduncular fixation, we employed the combination of inter-spinous process fusion (ISPF) and translaminar facer screw fixation technique (TFSF).Features of the TFSF technique include the following (1) by having direct screw insertion to the facet, stabilization of the whole range of motion of the moter segment can be obtained. (2) is a relatively easy technique, with no major inherent risk.However disadvantages include the fact that spinous processes and lamina are not as strong as rhe pedicle, making this procedure not recommended for use in osteoporosis.To overcome this disadvantage we simultaneously employed this technique with TLSF, and treated 19 cases of unstable lumbar disc lesion in this series.The average age of patients was 53 years (range from 30 years to 72 years).The follow-up period was 6-18 months (mean 9.8 months).Ten patients had retrolisthesis with or without lumbosacral transitional vertebrael, 5 failed lumbar disc surgery, 3 cases had degenerative spondylolisthesis and 1 unstable disc with congenital kyphoscoliosis.The spinous processes in patients with osteoporosis were reinforced by two strut bones bilaterally and then a wire inserted.These patients tended to get quicker consolidation than the group who were stabilized with only the ISPF technique. At the present time there have been no screw or wire breakages and no neurological complications.
- 西日本整形・災害外科学会の論文
著者
関連論文
- 26.車いすテニス競技における筋傷害の評価(身障スポーツ)
- 脊椎奇形とその合併奇形についての検討
- 腰椎分離すべり症の形態学的特徴の検討 特にすべりに関する因子の検討
- 不安定性を有する腰椎変性疾患に対する Magerl 法と棘突起間支柱骨挿入併用法の中長期成績
- 側彎症手術における自己血輸血 : とくに凍結保存自己血輸血の有用性について
- 骨粗鬆症胸腰椎移行部椎体骨折による後弯変形に対する棘突起間固定(制動)法
- 学童期の腰痛患者に於ける腰椎後方要素の異常可動性について
- 第5腰椎分離症及び分離すべり症に於ける分離椎弓の異常可動性について
- 不安定性を有する腰椎変性疾患に対する Combined Translaminar Facet Screw Fixation (Magerl) and Inter-spinous Prosses Fusion (H-graft) 法
- 下位腰椎椎間板高度狭小と可動性について
- 第5腰椎分離症及び分離すべり症に於ける分離椎弓の異常可動性について
- 腰仙移行椎例に於ける脊椎分離及び分離すべり症の特徴 : 特にすべりと同椎の関連について
- 腰椎椎間板障害等を合併した骨折を伴い変形を有する脊椎骨粗鬆症の検討
- 椎体骨折と変形を有する脊椎骨粗鬆症を合併した腰椎椎間板障害例の検討
- 不安定性を伴う腰椎変性に対する Combined Translaminar Facet Screw Fixation (Magerl法) and Inter spinous Processes Fusion (H-graft) Techniques
- 腰仙移行椎直上椎間の前方すべりの検討
- 腰椎椎間板変性に於ける "Isolated Disc Resorption" のX線学的検討
- Analysis of multiply operated back.
- A study of the compression fractures in osteoporotic spines.
- Roentgenographic soft tissue signs of cervical injury.
- Brace Treatment for Scoliosis in Children under 10 years of Age.
- Long-Term Radiological Changes in Patients with Ante-Position Type Instavbility of the Lumbar Spine.
- Circumferential motor-segment fusion technique for unstable lumbar disc diseases.
- A survey of co-relation between congenital vertebral anomalies and other congenital anomalies.
- Combined Translaminal Facet Screw fixation and Inter-spinous Process Fusion (H-graft) Techniques in Lumbar Spinal Fusion.