CAJ | 학술논문

目的探讨一侧椎板切除,保留对侧椎板后路椎弓根内固定复位椎间、峡部、小关节植骨融合术临床疗效和安全性.方法2004年1月至2011年1月收治腰椎滑脱症并峡部断裂36例,男22,女14例,年龄平均47岁(35~76岁),均采用“一侧椎板切除,保留对侧椎板后路椎弓根内固定复位椎间、峡部、小关节植骨融合术”治疗.结果随访时间平均为18个月(12~24个月),椎间植骨融合标准参照FDA推荐的Simmons法,36例手术后3~6个月全部骨性融合.术前腰背部疼痛VAs评分为8.5±0.4分,术后腰背部疼痛VAS评分为1.1±0.2分.结论一侧椎板切除,保留对侧椎板后路椎弓根内固定复位椎间、峡部、小关节植骨融合术治疗腰椎滑脱症并双侧峡部断裂临床疗效安全可靠.
목적탐토일측추판절제,보류대측추판후로추궁근내고정복위추간、협부、소관절식골융합술림상료효화안전성.방법2004년1월지2011년1월수치요추활탈증병협부단렬36례,남22,녀14례,년령평균47세(35~76세),균채용“일측추판절제,보류대측추판후로추궁근내고정복위추간、협부、소관절식골융합술”치료.결과수방시간평균위18개월(12~24개월),추간식골융합표준삼조FDA추천적Simmons법,36례수술후3~6개월전부골성융합.술전요배부동통VAs평분위8.5±0.4분,술후요배부동통VAS평분위1.1±0.2분.결론일측추판절제,보류대측추판후로추궁근내고정복위추간、협부、소관절식골융합술치료요추활탈증병쌍측협부단렬림상료효안전가고.
Objective:To expore the clinic effect and safety of remaining one of the lamina by pedicle screw fixation and bone graft in intervertebral space、vertebral isthmus and facet joints. Methods:From January 2004 to January 2011,we treated 36 cases true spondylolisthesis patients ,male 22,female 14, average age of 47(from 35 to 76),all of them were treated by remaining one of the lamina by pedicle screw fixation and bone graft in intervertebral space、vertebral isthmus and facet joints.Result:The average follow-up time was 18 months (from 12 months to 24 months),about bone graft in intervertebral space ,we used the Simmons method which recommoned by FDA. All of the 36 cases achieved bony fusion. The average preoperative patient’s VAs was 8.5±0.4, The average postoperative patient’s VAs was 1.1±0.2. Conclusion:It is a safety and reliable method by remaining one of the lamina by pedicle screw fixation and bone graft in intervertebral space、vertebral isthmus and facet joints to treat the true spondylolisthesis which bilateral isthmus fracture.