后路

METHODS: A total of 200 volunteers who need to receive spinal fusion in the Affiliated Hospital of Qingdao University Medical College were selected, including 102 cases received anterior cervical subcorpectomy combined with iliac bone implantation fusion following decompression, and 98 cases received posterior laminectomy for decompression combined with intertransverse process fusion. Meantime, 223 normal adults were served as the control group.

随机选择青岛大学医学院附属医院住院患者中需行脊柱融合的自愿受试者200例，其中行颈椎前路椎体次全切除减压自体髂骨植骨融合钛板内固定者102例，腰椎后路椎板切除减压横突间植骨融合内固定者98例，以223名健康正常人作对照。

Methods. A validated 3-dimensional, nonlinear finite element model of an intact adult human L3-L4 motion segment was developed. Four fusion types were simulated using this model, including anterior lumbar interbody fusion, posterior lumbar interbody fusion, intertransverse process fusion, and interspinous process fusion.

制作一个完整的成人腰3-4节段三维立体多元化模型，再用这个模型来制成4种融合方式的模型，包括腰椎前路椎间融合、腰椎后路椎间融合、腰椎横突间植骨融合、椎板棘突间植骨融合；而且达到融合的程度也不尽相同。

The surgery consisted of one-stage posterior transpedicular eggshell technique, and then expanded the eggshell to the adjacent intervertebra including apex vertebra and both cephal and caudal wedge vertebra combined with their posterior elements, after completion of the VCR, instruments were added to achieve temporary stability.

均采用单纯后路扩大&蛋壳&技术切除侧后凸顶椎（包括顶椎邻近的头尾侧楔变的脊椎），截骨节段上下方各应用2~3对椎弓根螺钉固定，通过器械加压矫形关闭切除后形成的间隙观察手术前后侧后凸的矫正率、术中脊柱短缩、术后站立位身高变化及术后整体平衡情况。。

objective to study the clinical therapeutic efficacy of posterior vertebral pedicle screw fixation plus intervertebral, isthmic and posterolateral bone grafting for lumbar isthmic spondylolisthesis.

目的：探讨应用后路椎间、峡部及后外侧植骨加椎弓根钉内固定术治疗峡部裂性腰椎滑脱症的疗效。

Methods Biomechanical characteristics of LSRF was tested, and three dimensional finite element model of lumbar spondylolysis and isthmic spondylolisthesis was established, the stress of lumbar i...

目前椎弓峡部崩裂滑脱的治疗方法有原位植骨融合，直接修复单椎体固定，经椎弓根复位固定后外侧植骨融合，椎间融合和前后路同时融

Objective: To evaluate the effect of single-stage excision of hemivertebrae via the posterior approach along with short segment internal fixation for adolescent congenital kyphoscoliosis caused by fully segmented hemivertebrae.

目的：探讨一期后路半椎体切除、短节段内固定融合治疗青少年完全分节型半椎体所致先天性脊柱侧后凸畸形的临床疗效。

From March 2002 to December 2005,a consecutive series of 19 adolescent congenital kyphoscoliosis due to fully segmented hemivertebrae were managed by posterior approach along with short segment internal fixation.

2002年3月～2005年12月，对19例完全分节型半椎体所致先天性脊柱侧后凸患者行一期后路半椎体切除、短节段内固定融合术，年龄9岁8个月～19岁4个月，平均13岁9个月，术后随访1年7个月～5年4个月，平均3年2个月。

Background: Congenital kyphosis and acquired kyphoscoliotic deformities are uncommon but are potentially serious because of the risk of progressie deformity and possible paraplegia with growth.

通过肋横突切除同时进行前后路是一有挑战性、但又是安全、多能和有效的治疗胸椎复杂后凸畸形的入路，它减少了发生神经损伤的危险。

Objective To study anatomic features of the lumbosacral multifidus muscle and provide reference for reducing spinal injury during posterior lumbar surgery.

目的 通过对腰骶段多裂肌进行应用解剖研究，为临床减少腰椎后路手术对脊柱功能影响提供参考资料。

They were divided into three groups:nonfusion, posterolateral fusion and intervertebral fusion. After a long term follow-up (≥2y),their clinical data were reviewed to compared their improvement rate of lower back pain,JOA score , subside rate of disc height and chang rate of superior intervertebral space angle.

从2001年5月～2005年8月手术治疗74例单纯髓核摘除术后腰突症复发的患者，将患者分成3组：全椎板切除髓核摘除组，后外侧融合组和后路椎间融合组，经过长期随访(≥2年)，复习其临床资料，比较各组间的下腰痛JOA评分改善率，椎间高度下降率以及上一椎间隙角的改变率，从而比较不同术式的长期疗效。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。