CAJ | 학술논문

目的比较后外侧融合与后路椎间融合治疗部型腰椎滑脱症临床疗效.方法从2002年6月到2006年6月期间手术治疗峡部型腰椎滑脱症患者共38例,根据手术方法进行分组.Ⅰ组:减压+TSRH后路固定+横突间植骨;Ⅱ组:减压+TSRH后路固定+椎体间植骨;平均随访3年6个月.比较2组手术患者的临床随访结果,包括临床功能评价,影像学评价.结果 1)两种融合方法之间的临床主观与客观评估没有统计学意义(P＞0.05).2)Ⅰ组在滑脱复位的维持、滑脱角度和椎间高度的维持等方面较Ⅱ组有统计学意义(P＜0.05);3)尽管Ⅰ组的断钉率较高,但这并没有影响最终的临床效果评价.结论椎体间植骨较横突间植骨在影像学评价方面有显著的优势,但与临床效果评定不平行.
목적 비교후외측융합여후로추간융합치료부형요추활탈증림상료효.방법 종2002년6월도2006년6월기간수술치료협부형요추활탈증환자공38례,근거수술방법진행분조.Ⅰ조:감압+TSRH후로고정+횡돌간식골;Ⅱ조:감압+TSRH후로고정+추체간식골;평균수방3년6개월.비교2조수술환자적림상수방결과,포괄림상공능평개,영상학평개.결과 1)량충융합방법지간적림상주관여객관평고몰유통계학의의(P＞0.05).2)Ⅰ조재활탈복위적유지、활탈각도화추간고도적유지등방면교Ⅱ조유통계학의의(P＜0.05);3)진관Ⅰ조적단정솔교고,단저병몰유영향최종적림상효과평개.결론 추체간식골교횡돌간식골재영상학평개방면유현저적우세,단여림상효과평정불평행.
Objective To compare the outcome of the treatment of spondylolytic spondylolisthesis using postemlateral fusion or posterolateral interbody fusion.Methods Thirty-eight patients with spondylolytic spondylolisthesis were retrospectively studied.These patients were divided into two groups according to the surgical method:Group 1:decompression,TSRH fixation and PLF;Group2:decompression,TSRH fixation,and PUF.Patients were followed up for an average of 3 years and 6 months.Two groups were compared in terms of clinical and radiological materials.Results 1)There is no significant difference between two groups on the basis of clinical evaluation which includes objective and subjective aspect(P＞0.05).2)Group 1 is worse than Group 2 in terms of radiological evaluation(P＜0.05),3) Although the screw breakage rate is the highest in group 1,the clinical evaluation is not statistically different between the two groups.Conclusion PLIF offers a better radiological result than PLE;however,the clinical outcome is not parallel to the radiological result.