中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
5期
36-38
,共3页
脊椎滑脱%内固定器%脊柱融合术%评价研究
脊椎滑脫%內固定器%脊柱融閤術%評價研究
척추활탈%내고정기%척주융합술%평개연구
Spondylolysis%Internal fixators%Spina fusion%Evaluation studies
目的 评价椎间打压植骨融合椎弓根钉内固定术治疗腰椎滑脱症的临床疗效.方法 2003年1月至2007年10月收治的腰椎滑脱症患者39例,其中退变性滑脱14例,峡部裂性滑脱25例.L4椎体滑脱22例,L5k椎体滑脱17例.按Meyerding滑脱程度分级标准:Ⅰ度滑脱11例,Ⅱ度滑脱27例,Ⅲ度滑脱1例.C型臂X线机透视定位下在滑脱椎体及其下位椎体间植入椎弓根螺钉,行滑脱椎体全椎板减压术,安放固定棒并撑开椎间隙,进行滑脱椎体复位及临时固定,处理椎间隙,行椎间打压植骨融合术,调整钉棒进行椎间适度加压,以植骨块稳定为度.结果 本组患者全部获得随访,随访时间5个月至4年,平均15个月.滑脱椎体完全复位28例,不完全复位11例.采用Prolo腰椎术后功能评定标准,治愈35例,有效4例,无效0例.结论 椎间打压植骨融合椎弓根钉内固定术是治疗腰椎滑脱症的一种安全、有效术式,融合率高,费用较低,易被患者接受和选择.
目的 評價椎間打壓植骨融閤椎弓根釘內固定術治療腰椎滑脫癥的臨床療效.方法 2003年1月至2007年10月收治的腰椎滑脫癥患者39例,其中退變性滑脫14例,峽部裂性滑脫25例.L4椎體滑脫22例,L5k椎體滑脫17例.按Meyerding滑脫程度分級標準:Ⅰ度滑脫11例,Ⅱ度滑脫27例,Ⅲ度滑脫1例.C型臂X線機透視定位下在滑脫椎體及其下位椎體間植入椎弓根螺釘,行滑脫椎體全椎闆減壓術,安放固定棒併撐開椎間隙,進行滑脫椎體複位及臨時固定,處理椎間隙,行椎間打壓植骨融閤術,調整釘棒進行椎間適度加壓,以植骨塊穩定為度.結果 本組患者全部穫得隨訪,隨訪時間5箇月至4年,平均15箇月.滑脫椎體完全複位28例,不完全複位11例.採用Prolo腰椎術後功能評定標準,治愈35例,有效4例,無效0例.結論 椎間打壓植骨融閤椎弓根釘內固定術是治療腰椎滑脫癥的一種安全、有效術式,融閤率高,費用較低,易被患者接受和選擇.
목적 평개추간타압식골융합추궁근정내고정술치료요추활탈증적림상료효.방법 2003년1월지2007년10월수치적요추활탈증환자39례,기중퇴변성활탈14례,협부렬성활탈25례.L4추체활탈22례,L5k추체활탈17례.안Meyerding활탈정도분급표준:Ⅰ도활탈11례,Ⅱ도활탈27례,Ⅲ도활탈1례.C형비X선궤투시정위하재활탈추체급기하위추체간식입추궁근라정,행활탈추체전추판감압술,안방고정봉병탱개추간극,진행활탈추체복위급림시고정,처리추간극,행추간타압식골융합술,조정정봉진행추간괄도가압,이식골괴은정위도.결과 본조환자전부획득수방,수방시간5개월지4년,평균15개월.활탈추체완전복위28례,불완전복위11례.채용Prolo요추술후공능평정표준,치유35례,유효4례,무효0례.결론 추간타압식골융합추궁근정내고정술시치료요추활탈증적일충안전、유효술식,융합솔고,비용교저,역피환자접수화선택.
Objective To investigate the curative effect for lumbar spondylolisthesis by posterior lumbar intervertebral compression bone graft fusion and pedicle screw internal fixation.Method All 39 cases with lumbar spondylolisthesis accepted treatment during January 2003 to October 2007.There were cataplasia spondylolisthesis in 14 cases and isthmic spondylolisthesis in 25 cases.Twenty-two cases had spondylolisthesis in L4 and 17 cases had spondylolisthesis in L5.According to Meyerding grading,11 patients were classified as degree Ⅰ lesion.27 patients as degree Ⅱ lesion and 1 patient as degree Ⅲ lesion.By the help of X-ray machine,pedicle screw Was embedded in the vertebral spondylolisthesis and it Was lower vertebra.Laminectomy decompress was administered in vertebral spondylolisthesis and hold-down bars was placed to open intervertebral space.Then restored the vertebral spondylolisthesis and fixed it temporary.Next,intervertebral compression bone graft fusion was finished and was adjusted.Results Follow-up period was 5 months to 4 years.Clinical outcomes were measured with Prolo evaluation scale,35 cases were cured,4 cases were good effect.Conclusions This operation has been found to be asafe,rapid and effective method for lumbar spondylolisthesis and it produces a high fusion rate and lower expense.
