Sexual Complications of Anterior Fusion of the Lumbar Spine
Sexual Complications of Anterior Fusion of the Lumbar Spine
复制标题
腰椎前路融合的性并发症
DOI：
10.1097/00007632-198407000-00013
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发表时间：
1984
期刊：
影响因子：
3
通讯作者：
C. Price
中科院分区：
文献类型：
--
作者：
J. C. Flynn;C. Price
最近，对脊柱滑脱、先天性麻痹性脊柱侧凸伴骨盆倾斜的前路融合术有了新的兴趣。有些候选者是青春期前的男孩。在泌尿生殖功能正常的青春期前男孩手术后的不孕症将无法确定，直到这些患者成熟。一项对20名具有15-20年经验的外科医生（4500例）的全球调查显示，不孕症（逆行射精）发生率为19例（0.42%），阳痿发生率为20例（0.44%）。四分之一的逆行射精病例消退并恢复正常。阳痿是非器质性的。逆行射精的并发症似乎与方法无关，但与技术有关。虽然前路融合术后的不孕症和阳痿的并发症被过分夸大了，但建议成年男性和青春期前男性儿童的父母谨慎和知情同意。
Recently, there is renewed interest in anterior fusion for spondylolisthesis and congenital and paralytic scoliosis with pelvic obliquity. Some of the candidates are prepubertal boys. Sterility after surgery in urogenitally normal prepubertal boys will not be determined until these patients mature. A worldwide survey of 20 surgeons with 15–20 years of experience (4,500 cases) reports the frequency of sterility (retrograde ejaculation) to be 19 cases (0.42%) and impotence 20 cases (0.44%). Onefourth of the retrograde ejaculation cases resolved and became normal. Impotence is non-organic. The complication of retrograde ejaculation does not appear to be related to approach, though it was related to technique. While the complications of sterility and impotence following anterior fusion have been over-exaggerated, caution and informed consent from adult males and parents of prepubertal male children is advisable.