Clinical Experience of Luque Segmental Spinal Instrumentation

分節式脊椎固定術之臨床經驗

鄭裕民(Yuh-Min Cheng) ； 林森源(Sen-Yuen Lin) ； 廖潤生(Jun-Sheng Liao)

《The Kaohsiung Journal of Medical Sciences》 2卷5期 (1986/05) Pp. 320-329

https://doi.org/10.6452/KJMS.198605.0320

摘要

從1981到1985四年間，我們總共做了38例的椎板下分節式脊椎固定。其中包括脊椎骨析27例，脊柱側彎7例，僵直性脊椎炎導致的脊柱前彎2例，結核性脊椎炎2例。這些病例中，總共追踪到33例，追踪期間從4個月到43個月，平均24.4個月。我們得到一個滿意的結果：所有的病例都有良好的骨癒合，而併發症很少。雖然椎板下脊椎固定術亦有缺點，如它並非適用於所有形態的脊椎骨折及脊柱變形，而且它須較熟練之手術技巧，較長之手術時間，手術時較多的失血，而在做椎板下固定時，傷害到脊髓之危險性較高。但是，它對脊柱變形之矯正力較大，而且固定力也較強，不需要使用術後外固物就能達到良好的椎骨黏合。所以它能縮短臥床時間，使病人及早運動及復健，縮短住院期間。所以在目前來說，我們認為，如果能謹慎選適用的病例，而且具備足夠的經驗及熟練的手術技術，椎板下分節式脊椎固定對於脊椎骨折及脊柱變形，仍不失為一種有價值的手術。

並列摘要

From 1981 to 1985, we had used Luque segmental spinal instrumentation with subliminal wiring for spinal fixation in 39 cases, including 28cases of spinal fracture,7 cases of scoliosis, 2 cases of kyphosis and 2 cases of TB spine. 34 cases were followed up, ranged from 4 to 43 months with average of 24.4 months. And we had a satisfactory clinical result that all cases had good bony unioned spine with only rare complication.
Though Luque instrumentation has its own limitations and disadvantages in some circumstances. We still concluded that it was a good device for the treatment of unstable fracture, spinal deformity and some cases of TB spine if conducted with good technique and experience.

並列關鍵字

Luque segmental instrumentation ； sublaminal wiring