【摘要】 目的　探讨应用带第四腰动脉蒂植骨治疗腰椎不稳的手术方法和适应证。方法　本组腰椎不稳病人 16例 ,将带第四腰动脉蒂髂骨瓣用松质骨螺丝钉固定于需融合节段腰椎的椎弓根 ,对侧椎板或横突间植骨融合。结果　术后随访 8个月至 6年 ,平均 2 8年 ,根据李稔生的疗效评价标准 :优 13例 ,良 2例 ,可 1例。结论　应用带第四腰动脉蒂髂骨瓣植骨融合治疗腰椎不稳手术简单 ,临床效果好更多还原

【Abstract】 HT5”H]Objective [HT5”SS]To describe a method for the treatment of lumbar spinal instability using iliac bone flap pedicled with the fourth lumbar artery.[HT5”H]Methods [HT5”SS]16 cases of lumbar spinal instability were treated with iliac bone flaps pedicled with the fourth lumbar artery.The fixation was done with spongy screw on the pedicles of lumbar vertebral segment to be fused.Bone grafting and fusion of contralateral vertebral lamina or intertransverse was performed.[HT5”H]Results [HT5”SS]The cases were followed up from 8 months to 6 years,with an average of 2.8 years.According to Li’s evaluation criterion,excellent results were obtained in 13 cases,good in 2 and fair in 1.[HT5”H]Conclusion [HT5”SS]This operation method is simple and effective for the treatment of lumbar spinal instability.更多还原