摘要
目的探讨后路椎弓根螺钉内固定联合椎间植骨融合治疗Ⅱ、Ⅲ度腰椎滑脱临床疗效。方法回顾性分析我院2009年1月～2011年1月收治人院的30例腰椎滑脱症患者临床资料，所有病例均为Ⅱ、Ⅲ度腰椎滑脱。患者均采用后路椎弓根螺钉内固定联合椎间植骨融合治疗，观察手术前后临床症状及滑脱恢复情况、术后复位、疗效评价、材料生物相容性、术后椎间隙高度及BFS评分。结果30例患者术前均为Ⅱ、Ⅲ度腰椎滑脱，其中，19例行椎管、神经根管减压、复位固定、植骨融合治疗，11例只行复位固定、植骨融合治疗。获得随访30例，均超过12个月。30例椎间植骨全部融合，融合率为100％。BFS评分优良率达90．0％。结论后路椎弓根螺钉内固定联合椎间植骨融合治疗Ⅱ、Ⅲ度腰椎滑脱，操作简便、固定可靠，是临床治疗中的一种值得推广的方法。
Objective To explore the curative effect of posterior transpedicular screw fixation combined with intervertebral bone grafting fusion in the treatment of II degree and III degree lumbar spondylolisthesis. Methods The clinical data of 30 patients with lumbar spondylolisthesis from January 2009 to January 2011 in our hospital were analyzed retrospectively. All cases were suffered with II degree or IIIdegree lumbar spondylolisthesis. All patients were adopted posterior transpedicular screw fixation combined with intervertebral bone grafting fusion treatment. The clinical symptoms, slippage recovery condi- tion before and after operation, postoperative restoration, therapeutic effect evaluation, material biocompatibility, postopera- tive intervertebral height and BFS score were observed. Results 30 patients all suffered with I1 degree or 111 degree lumbar spondylolisthesis before surgery, among whom 19 cases were treated with canalis vertebralis and nerve root canal decompression, reduction and fixation and bone graft fusion. Other 11 cases were treated without decompression. All of 30 cases were followed up more than 12 months, the intervertebral fusion were all fused, the fusion rate was 100%. The excellent and good rate of BFS score reached 90.0%. Conclusion The operation of posterior transpedicular screw fixation combined with intervertebral bone grafting fusion in the treatment of II degree and III degree lumbar spondylolisthesis is simple and the fixation is reliable. It is a good method, which is worthy of clinical application.
出处
《中国医药导报》
CAS
2012年第20期47-49,共3页
China Medical Herald
关键词
腰椎滑脱症
椎体间加压融合
生物力学
椎弓根螺钉
内固定
Lumbar spondylolisthesis
Intervertebral compression fusion
Biomeehanics
Pedicle screw
Internal fixation
