CAJ | 학술논문

目的探讨腰椎管减压、SP内固定器及后外侧植骨融合治疗不稳定型腰椎退行性滑脱症的临床疗效.方法对21例腰椎退行性滑脱症患者行后方入路腰椎管减压、SP内固定器固定、后外侧植骨融合.比较手术前后临床症状改善和X线片滑脱复位程度进行疗效评定.结果 21例患者临床症状均明显改善.16例Ⅰ度滑脱术后X线片检查证实完全复位；5例Ⅱ度滑脱,4例完全复位,1例部分复位.手术优良率85.7％.术后无发生神经系统并发症及感染.结论 SP内固定器治疗腰椎退行性滑脱症复位满意,疗效良好.
목적 탐토요추관감압、SP내고정기급후외측식골융합치료불은정형요추퇴행성활탈증적림상료효.방법 대21례요추퇴행성활탈증환자행후방입로요추관감압、SP내고정기고정、후외측식골융합.비교수술전후림상증상개선화X선편활탈복위정도진행료효평정.결과 21례환자림상증상균명현개선.16례Ⅰ도활탈술후X선편검사증실완전복위；5례Ⅱ도활탈,4례완전복위,1례부분복위.수술우량솔85.7％.술후무발생신경계통병발증급감염.결론 SP내고정기치료요추퇴행성활탈증복위만의,료효량호.
Objective To investigate the clinical efficacy of unstable degenerative lumbar spondylolisthesis(DLS) with spinal decompression intertransverse bone grafting and internal fixation with SP instrument.Methods 21 cases of posterior approach decompression,bone grafting fusion and internal fixation were performed for treatment of patients with DLS.Evaluation efficacy was compared in the improvement of clinical symptoms and degree of reduction of spondylolisthesis with the X Ray before and after operation.Results All patients were followed up for an average of 16.2 months after operation.Clinical symptoms were basically in 21cases.The complete reduction of spondylolisthesis was 4,among 5 cases spondylolisthesis with Ⅱ degree,there was no complication such as injury of Nevous system or infection.Conclusion The therapeutic is satisfactory for DLS in the early follow-up period.