摘要
目的评价经后路全椎板切除减压、自体骨椎间打压植骨、椎弓根螺钉内固定治疗退行性腰椎滑脱症的临床疗效。方法本组退变性腰椎滑脱症患者39例，全部采用后路去椎板减压、自体骨打压椎间植骨、椎弓根螺钉内固定治疗，随访14～28个月，进行术前、术后功能和症状评分，观察临床疗效及植骨融合率。结果随访14～28个月，植骨融合率达100％，术前、术后JOA评分比较差异有统计学意义（P〈0．05），优良率为92．3％。结论后路全椎板切除减压、自体骨打压椎间植骨、椎弓根螺钉内固定是治疗退行性腰椎滑脱症的一种安全有效的方法，临床疗效满意。
Objective To evaluate the effectiveness of treated with autogenous bone graft and im- paction on posterior interbody fusion combined with pediele screw fixtation. Methods Thirty nine patients with degenerative lumbar spondylolisthesis were studied, all of them were treated with autogenous bone graft and impaetion on posterior interbody fusion combined with pedicle screw fixtation. All the cases were observed on the changes of symptoms, signs before and after operation. A follow -up period was lasted for 14- 28 months to observe clinical effect and fusion rate. Results The follow -up period was 14 to 28 months. The fusion rate was 100%. The Japanese Orthopedic Association （JOA） score was significant difference between pre - and post - operation. The general improvement rate was 92.3%. Conclusions The surgical technique of autogenous bone graft and impaction on posterior interbody fusion combined with pedicle screw fixtation is an effective method for treatment of degenerative lumbar spondylolisthesis.
出处
《中国实用医刊》
2011年第7期50-51,54,共3页
Chinese Journal of Practical Medicine
关键词
椎体间植骨融合
自体骨
椎弓根螺钉
腰椎滑脱
Posterior lumbar interbody fusion
Autogenous bone
Pedicle screw
Spondylolisthesis
