불안정성 척추 골절-탈구에 Harrington柱 삽입에 의한 고정
Stabilization of Unstable Fracture-Dislocation of Spine with Harrington Instrumentation
김중술, 정문상, 홍강의,
소속 상세정보
김중술 ( )
서울대학교 의과대학 정형외과학교실
정문상 ( )
서울대학교 의과대학 정형외과학교실
홍강의 ( )
서울대학교 의과대학 정형외과학교실
KMID : 0361619750100030282
Abstract
The treatment of unstable fracture-dislocation of the spine remains controversial in terms of conservative and surgical intervention. Guttmann (1954, 1965. 1969) strongly emphasizes the conservative approach, however Holdsworth and Hardy (1953, 1963) advise early open reduction and internal fixation.
For internal fixation Rogers wire loop (1942), Wilson plates (1952), and Williams plates (1963) have been used. Recently Amstrong and Johnston (1974) reported effective stabilization of spinal injuries with Harrington instrumentation in 8 cases.
We obtained a good result in a case of L3-4 fracture-dislocation, which was redislocated after the fixation of Rogers wire loop and then stabilized and maintained very well by using Harrington rods.
It is felt that Harrington instrumentation is an excellent armament for spinal stabilization of the spine fracture-dislocation except for the cervical spine.
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