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椎管减压椎弓根钉内固定治疗腰椎管狭窄症疗效观察 被引量:10

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摘要 目的探讨椎管减压联合椎弓根螺钉内固定技术治疗腰椎管狭窄症的效果。方法本组采用广泛椎板切除减压、横突间融合及椎弓根螺钉内固定治疗腰椎管狭窄32例。术中无神经根、脊髓及大血管损伤等严重并发症,从临床疗效以及术中、术后并发症等方面进行评价。结果随访6~36个月,平均18个月。根据日本矫形外科协会评分标准,本组优19例,良8例,可5例,优良率为84.4%。结论腰椎滑脱症行椎弓根螺钉内固定及横突间融合治疗腰椎管狭窄临床疗效满意,腰椎管减压、横突间融合和脊柱固定可以改善腰椎管狭窄临床症状,彻底减压以及获得术后植骨部位的骨性融合是保证治疗效果的关键。
出处 《实用骨科杂志》 2010年第6期442-443,共2页 Journal of Practical Orthopaedics
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参考文献8

  • 1邱贵兴,戴越戎.骨科手术学[M].北京:人民卫生出版社,2006:667.
  • 2Cakir B,Ulmar B,Koepp H,et al.Posterior dynamic stabiliziation as analternative for dorso-ventral in spinal stenosis with degenerative insttability[J].Z Orthop Ihre Grenzgeb,2003,141(4):418-424.
  • 3Phillips FM.Cunningham B.Managing chronic pain of spinal origin after lumbar surgery:the role of decompressive surgery[J].Spine,2002,27(22):2547-2553.
  • 4Sengupta DK,Herkowitz HN.Lumbar spinal stenosistreatment strategies and indications for surgery[J].Orthop ClinNorthAm,2003,34(2):281-295.
  • 5吴国勇,张辉,唐毅,戢勇,唐旭,杨成,张方德.腰椎管减压椎弓根螺钉内固定治疗腰椎管狭窄症疗效观察[J].实用医院临床杂志,2007,4(2):51-52. 被引量:12
  • 6Madan S,Boeree NR.Outcome of posterior interbody fusion versus posterolatera fusion for spondylolytic spondylolisthesis[J].Spine,2002,27(14):1536-1542.
  • 7李危石,陈仲强,郭昭庆,齐强,刘忠军.椎间植骨融合与横突间植骨融合治疗腰椎滑脱症的比较[J].中国脊柱脊髓杂志,2005,15(1):20-23. 被引量:113
  • 8JollesBM,Porcher F,Theumann N.Surgical treatment of lumbar spinal stenosis[J].J Bone Joint Surg,2001,83(7):949-953.

二级参考文献16

  • 1[2]Cakir B,Ulmar B,Koepp H,et al.Posterior dynamic stabiliziation as an alternative for instrumented fusion in the treatment of degenerative lumbarinstability with spinal stenosis[J].Z Orthop Ihre Grenzgeb,2003,(4):418-424.
  • 2[3]Phillips FM,Cunningham B.Managing chronic pain of spinal origin after lumbar surgery:the role of decompressive surgery[J].Spine,2002,27(22):2547 -2553.
  • 3[4]Hee HT,Wong HK.The long-term results of surgical treartment for spinal stenosis in the elderly[J].Singapore Med J,2003,44 (4):175-180.
  • 4[5]Sengupta DK,Herkowitz HN.Lumbar spinal stenosis.Treatment strategies and indications flr surgery[J].Orthop Clin North Am,2003,34(2):281-295.
  • 5[6]Gunzburg R,Keller TS,Szpalski M,et al.A prospective study on CT scan outcomes after conservative decompression surgery for lumbar spinal stenosis[J].J Spinal Disord Tech,2003,:16 (3):261-267.
  • 6[7]Jolles BM,Porcher F,Theumann N.Surgical treatment of lumbar spinal stenosis[J].J Bone Joint surg,2001,83-B:949-953.
  • 7[8]Girardi FP,Cammisa FP Jr.The effect of bone graft extenders to enhance the performance of iliac crest bone grafts in instrumented lumbar spine fusion[J].Orthopedics,2003,26 (5 Suppl):s545-548.
  • 8Lin PM. Posterior lumbar interbodv fusion technique,compli-cations and pitfalls[J].Clin Orthop,1985,193 :90-102.
  • 9Verlooy J, De Smedt K,Selosse P.Failme of a modified poste-rior lumbar interbody fusion technique to produce adequate pain relief in isthmie spondylolytie grade 1 spondylolisthesis patients[J].Spine, 1993,18(11) : 1491-1495.
  • 10Suk S,Lee CK,Kim WJ,et al. Adding posterior lumbar inter-bodv fusion to pediele screw fixation and posterolateral fusion after decompression in spondylolytic spnndylolisthesis [J].Spine, 1997,22 (2) : 210-220.

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