CAJ | 학술논문

目的：观察后路椎弓根螺钉内固定联合椎间融合器治疗老年椎间盘突出合并椎管狭窄的临床效果。方法回顾性分析2009-2012年收治的52例老年性腰椎间盘突出并椎管狭窄症患者的临床资料。结果本组52例患者均术后2周拆线，术后切口均一期愈合，无感染及神经意外损伤等并发症发生。术后随访9个月至3年，平均2．2年。按照 Macnab 评分标准，29例优，17例良，6例可，优良率88．46％。结论老年患者腰椎间盘突出并椎管狭窄采用后路椎弓根螺钉内固定联合椎间融合器治疗，既能保证对病变部位彻底减压，同时维持脊柱稳定性及椎间隙高度，可取得显著的临床治疗效果。
목적：관찰후로추궁근라정내고정연합추간융합기치료노년추간반돌출합병추관협착적림상효과。방법회고성분석2009-2012년수치적52례노년성요추간반돌출병추관협착증환자적림상자료。결과본조52례환자균술후2주탁선，술후절구균일기유합，무감염급신경의외손상등병발증발생。술후수방9개월지3년，평균2．2년。안조 Macnab 평분표준，29례우，17례량，6례가，우량솔88．46％。결론노년환자요추간반돌출병추관협착채용후로추궁근라정내고정연합추간융합기치료，기능보증대병변부위철저감압，동시유지척주은정성급추간극고도，가취득현저적림상치료효과。
Objective To discuss the effect of the posterior approach of internal fixation with pedicle screws combined with interbody fusion cage for senile lumbar disc herniation(LDH)and lumbar spinal stenosis(LSS).Methods From 2009 to 2012,clinical material of 52 senile patients with LDH and LSS were analyzed retrospectively.Results 52 patients took out the suture after two weeks,postoperative incision were primary healing and there was no infection and complications such as nerve accidental injury.All the patients were all followed up,the average follow-up period was 2.2 years (range:9~36 months).There were 29 patients with excellent score,17 with good score and 6 with fair score according to Macnab score system,the total successful rate(excellent rate and good rate )added up to 88.46%.Conclusion Posterior approach of internal fixation with pedi-cle screws combined with interbody fusion cage for senile patients with LDH and LSS guarantees the complete decompression for diseased region and maintains spinal stability and intervertebral height to get significant treatment effect.