钛网结合表面植骨修复先天性脊椎裂

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1、万方数据基础区学中国组织工程研究与缶床康复第11卷第3，期2007—08—05出版JournalofClinicalRehabilitativeTissueEngineeringResearchAugust5J2007V01．11，No．31钛网结合表面植骨修复先天性脊椎裂陈文君，李凤霞，于新忠，尹绍猛，刘峰，伞有利，宋雯ChengdeHospital，067000，cheNnogdaehTitaniumalloynetandsurfacegraftforrepairofcongenitalspinalbifidaHebeiAbst

2、ractProvince．ChinaChenWen-jun，Associatechiefphysician．ChengdeNorthHospital．Chengde067000，HebeiProvince．Chinacdchenwenjun@163COmReceived：2007—05—12Accepted：2007·06—04AIM：ToapplylhetitaniumalloyRelcombinedwithbonegraftonitssurfacetorestorecongenitalspinaIbifidafSB)．andob

3、servetheIong—IermeffectonbonedefectsthroughthefoIlow—uD．METHODS：FromApri2003loApriJ2006。36SBpatientswerechosenfromDepartmentofSpinaSurgeryinChengdeNorthHospital．including12dominantcasesand24recessivecasesTheyalIreceivedvertebralcolumnsurgeryloexposethevertebralplateonb

4、oth‘sidesofIesionviathecentralposteriorvertebralcolumnapproach．DominantcasesweretreatedwithspinalmeningesandspinaIcordreturning，thensac—neckligationwasperformed；Recessivecaseswereusedtoseparatetheduramaterandsurroundingsofttissueadhesionbelt．Thepropertitaniumnetmouldwa

5、susedtocoverbonedefectsurface．foIlowedbybilateraIfixations．andtheartificiafboneortheautogenousbonewascutintotinyparticles，whichwereimplantedonsurface．。RESULTS：Thirty—s．xpatientswereallinvolvedintheresulIanalysis．①Long—lermeffectthroughfoIlow--ups：A¨thepatientswerefoIlo

6、wedupfornOlessthan12months．In24recessiveSBpatients。lumbagowasfoundtodisappearafteroperationandnervereappear．theyrecoveredtowork2monthsJater；In12dominantSBpatients．therewasnonervoussystemsymptomfoundin8casesofspinaImeninogocele．accompanyingthatfecesandurinetogetherwithm

7、uscularstrengthofIowerIimbswereallnormal。inother3casescomplicatedwithpartlyprotrusionincaudaequinanerve．enuresislandIowerlimbdisorderdidnotrelapse．nomassformedintheincisionandsurroundingtissue．FecalandurinarydysfunctionandlowerIimbdisorderwerenotobviouslyimprovedinonec

8、asecomplicatedwithwholeprotrusionincaudaequinanerve．②Bonehealingingraftarea：Boneunionformedtightlyinbonegraftarea，wit