CAJ | 학술논문

目的探讨双侧骶1椎弓根螺钉结合髂骨螺钉固定技术在治疗骶髂复合体损伤中的临床疗效.方法对23例骶髂复合体损伤患者,采用后路切开复位、双侧骶1椎弓根螺钉与伤侧髂骨螺钉连接固定后环,外固定支架固定前环的方法治疗.结果23例患者均可在术后1~3d床上45°~60°半卧位坐起,能使下肢足跟不离床面作屈伸髋膝关节及45°左右侧卧,而骶髂部无明显不适;术后影像学检查显示骨折和/或脱位获得解剖或接近解剖复位.21例获得随访,随访时间10~19个月,均能正常行走,仅1例56岁患者劳累后出现腰骶部酸痛,余均无明显骶髂关节疼痛等后遗症,功能恢复良好,疗效满意.结论后环双侧骶1椎弓根螺钉结合伤侧髂骨螺钉固定、前环外固定支架固定治疗骶髂复合体损伤,具有疗效确切、并发症及后遗症少、护理方便等优点,临床应用安全可行.
목적탐토쌍측저1추궁근라정결합가골라정고정기술재치료저가복합체손상중적림상료효.방법대23례저가복합체손상환자,채용후로절개복위、쌍측저1추궁근라정여상측가골라정련접고정후배,외고정지가고정전배적방법치료.결과23례환자균가재술후1~3d상상45°~60°반와위좌기,능사하지족근불리상면작굴신관슬관절급45°좌우측와,이저가부무명현불괄;술후영상학검사현시골절화/혹탈위획득해부혹접근해부복위.21례획득수방,수방시간10~19개월,균능정상행주,부1례56세환자로루후출현요저부산통,여균무명현저가관절동통등후유증,공능회복량호,료효만의.결론후배쌍측저1추궁근라정결합상측가골라정고정、전배외고정지가고정치료저가복합체손상,구유료효학절、병발증급후유증소、호리방편등우점,림상응용안전가행.
@@@@Objective To evaluate the clinical effect of bilateral S1 pedicle screws combined with iliac screws fixation in treatment of sacroiliac complex injury. Methods Twenty three patients with sacroiliac complex injury were included in the study. After posterior open reduction, the rear rings were fixed by the bilateral sacral pedicle screws and iliac screws, and the anterior rings were fixed by external fixator. Results Al 23 patients were able to sit up in semi-recumbent position (ranged, 45°to 60°) in 1~3 days after surgery and make the hip and knee flexed and extended on bed and be side lying in 45°. Al patients obtained satisfactory clinical results and replacement of sacroiliac complex dislocation. Twenty one cases were fol owed up for 10~19 months; 1 case presented lumbosacral pain was relieved by rest, others obtained satisfactory clinical results. Conclusion The bilateral S1 pedicle screws combined with iliac screws fixation is safe and effective in treatment of sacroiliac complex injury.