期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

自体椎间植骨融合椎弓根钉棒内固定治疗椎间盘源性腰痛 被引量：3

下载PDF
导出
摘要 目的探讨和总结腰椎间盘源性腰痛的诊断方法和手术疗效。方法对20例反复发作的腰痛患者进行MRI及椎间盘造影检查,并对确诊的12例患者行腰椎后路全椎板切除,切除病变椎间盘,自体椎体间植骨融合,相邻椎弓根螺钉内固定。结果12例患者术后获得随访,11例腰痛消失,活动自如。有一例术后2月,滑倒摔伤后,再次引起腰痛,卧床休息2周后好转。结论MRI对椎间盘源性腰痛的诊断提供了确切的影像学依据;椎间盘造影,复制腰痛症状,是确诊的重要临床依据。后路病变椎间盘切除,椎间融合,椎弓根内固定治疗腰椎间盘源性腰痛疗效确切。
作者 邢庆胜 张建锋
机构地区 濮阳市人民医院
出处 《医学信息（内.外科版）》 2009年第4期320-322,共3页 Medical Information Operations Sciences Fascicule
关键词 椎间盘源性腰痛 椎间盘造影 后路椎间融合
分类号 R681.53 [医药卫生—骨科学]
  • 相关文献

参考文献9

二级参考文献94

  • 1彭宝淦.椎间盘源性下腰痛[J].国外医学（骨科学分册）,2005,26(6):323-325. 被引量：6
  • 2Takebayashi T,Cavanaugh JM,Ozaktay AC,et al.Effect of nucleus pulposus on the neural activity of dorsal root ganglion.Spine,2001,26:940-945.
  • 3Olmarker K,Blomquist J,Stromberg J,et al.Inflammatogenic properties of nucleus pulposus.Spine,1995,20:665-669.
  • 4Takahashi N,Yabuki S,Aoki Y,et al.Pathomechanisms of nerve root injury caused by disc herniation:an experimental study of mechanical compression and chemical irritation.Spine,2003,28:435-441.
  • 5Ogura T,Shikata H,Hase H,et al.Electrophysiologic evaluation of lumbosacral single nerve roots using compound muscle action potentials.J Spinal Disord Tech,2003,16:487-492.
  • 6Muramoto T,Atsuta Y,Iwahara T,et al.The action of prostaglandin E2 and triamcimolone acetonide on the firing activity of lumbar nerve roots.Int Orthop,1997,21:172-175.
  • 7Igarashi T,Kikuchi S,Shubayev V,et al.2000 Volvo Award winner in basic science studies.Exogenus tumor necrosis factor-alpha minics nucleus puplosus-induced neuropathology:molecular,histologic,and behavioral comparisions in rats.Spine,2000,25:2975-2980.
  • 8Aoki Y,Rydevik B,Kikuchi S,et al.Local application of disc-related cytokines on spinal nerve roots.Spine,2002,27:1614-1617.
  • 9Burke JG,Watson RW,McCormack D,et al.Intervertebral discs which cause low back pain secrete high levels of proinflammatory mediators.J Bone Joint Surg (Br),2002,84:196-201.
  • 10Saifuddin A,Mitchell R,Taylor BA.Extradural inflammation associated with annular tears:demonstration with gadolinium-enhanced lumbar spine MRI.Eur Spine J,1999,8:34-39.

共引文献132

同被引文献70

  • 1陈开广,刘群会,陈绣娟,吴丽霜.射频热凝并骶管注射对椎间盘源性腰神经痛的治疗作用[J].中国康复医学杂志,2006,21(8):736-737. 被引量：10
  • 2李建光.人工椎间盘置换治疗椎间盘源性腰痛[J].透析与人工器官,2006,17(2):35-38. 被引量：4
  • 3夏群,Steffen Sola,胡永成,苗军,张继东,李建光,马毅,张晓林,周静.椎间盘源性腰痛的诊断与治疗初步报告[J].中华骨科杂志,2007,27(3):162-166. 被引量：57
  • 4张继东,夏群,苗军.椎间盘源性腰痛的诊断方法及其临床价值[J].中华骨科杂志,2007,27(3):217-220. 被引量：23
  • 5Park WM,Mc Call IW,O'Brien Je,et al.Fissuring of the posterior annulus fibresus in the lumber spine[J].Br J Badiol,1979,52(617):382-387.
  • 6Zhang Y,Kerus JM,Anderson DG,et al.Sensory neurons and fi-bers from multiple spinal cord levels innervate the rabbit lumbar disc[J].Am J Phys Med Rehabil,2006,85(11):865-871.
  • 7Horton WC,Daftari TK.Which disc as visualized by magnetic reso-uance imaging is actually a source of pain ? A correlation between magnetic resonance imaging and discography[J].Spine(Phila Pa 1976),1992,17(6 Suppl):S164-S171.
  • 8Lei D,Rege A,Koti M,et al.Painful disc lesion:can models bipla-nar magnetic resonance imaging replace discography?[J].J Spi-hal Discrd Tech,2008,21(6):430-435.
  • 9Buenaventura RM,Shah RV.Patel V,et al.Systematic review of discography as a diagnostic teat for spinal pain:an update[J].Pain Physician,2007,10(1):147-164.
  • 10Zhou Y,Abdi S.Diagnosis and minimally invasive treatment of lumbar discogenie pain-a review of the literature[J].Clin J Pain,2006,22(5):468-481.

引证文献3

二级引证文献35

医学信息（内.外科版）
2009年 第4期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部