CERVICAL FACET FUSION FOR CONTROL OF INSTABILITY FOLLOWING LAMINECTOMY
CERVICAL FACET FUSION FOR CONTROL OF INSTABILITY FOLLOWING LAMINECTOMY
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DOI：
10.2106/00004623-197759080-00001
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发表时间：
1977-01-01
影响因子：
5.3
通讯作者：
SOUTHWICK, WO
中科院分区：
文献类型：
--
作者：
CALLAHAN, RA;JOHNSON, RM;SOUTHWICK, WO
颈椎椎板切除术可能会损害脊柱的稳定性。椎板切除后可采用后外侧小关节融合术稳定脊柱，防止进行性畸形。该手术包括将钢丝穿过关节突的钻孔，并将2根纵向骨柱捆绑在关节突的后柱上。对63例颈椎椎板切除小关节融合术的患者进行了回顾，其中52例获得了1-17年的随访。植骨融合的原因是为了控制明显的脊柱不稳和畸形，或消除可能导致脊椎病的运动。52例患者中有50例发生固体融合，平均6.5mo。并提供持续的稳定性，而不会出现进行性畸形。虽然小关节融合是一个复杂的过程，但它提供了安全的稳定，不干扰减压，并允许患者早期活动。
Cervical laminectomy may compromise the stability of the spine. Posterolateral facet fusion can be used to stabilize the spine after laminectomy and prevent progressive deformity. The procedure includes passing wires through drill holes in the articular processes and binding 2 longitudinal struts of bone to the posterior columns of the articular processes. Sixty-three patients with cervical laminectomy and facet fusions were reviewed, and 52 were followed for 1-17 yr. The reasons for fusion were to control overt spinal instability and deformity or to eliminate motion which may contribute to spondylosis. Solid fusion occurred in 50 of 52 patients at a mean of 6.5 mo. and provided continuing stability without progressive deformity. Although facet fusion is a complex procedure, it provides secure stabilization, does not interfere with decompression and permits early mobilization of the patient.