CAJ | 학술논문

目的：探讨非椎间隙狭窄型峡部裂腰椎滑脱的手术治疗。方法对50例非椎间隙狭窄型峡部裂型腰椎滑脱患者采用短节段固定加椎板、横突间后外侧植骨融合的手术方法进行治疗。结果50例患者症状改善优良率达96％，植骨融合率100％。结论短节段内固定加后外侧植骨融合的手术方法具有手术时间短，不暴露椎管，避免对神经根及硬脊膜的误伤，出血少，费用低等优点。是治疗非椎间隙狭窄型峡部裂腰椎滑脱的一种有效方法。
목적：탐토비추간극협착형협부렬요추활탈적수술치료。방법대50례비추간극협착형협부렬형요추활탈환자채용단절단고정가추판、횡돌간후외측식골융합적수술방법진행치료。결과50례환자증상개선우량솔체96％，식골융합솔100％。결론단절단내고정가후외측식골융합적수술방법구유수술시간단，불폭로추관，피면대신경근급경척막적오상，출혈소，비용저등우점。시치료비추간극협착형협부렬요추활탈적일충유효방법。
Objective To investigate the clinical efficacy of surgical method in the treatment of isthmic lumbar spondylolisthesis with non-narrow type of intervertebral disc. Methods 50 patients with non-narrow type of intervertebral disc isthmic lumbar spondylolisthesis were treated with short phase fixation and posterolateral fusion of vertebral plate and transverse process. Results The good rate of symptoms improvement was 96%,and the rate of bone graft fusion was 100%. Conclusion The operation of short phase fixation and posterolateral fusion of vertebral plate and transverse pro-cess has advantages of less operative time,non-exposing vertebral canal,avoiding the mortally dam-age of nerve root and the catheter,less blood loss and the low cost,which is a safe and effective operation method for isthmic lumbar spondylolisthesis with non-narrow type of intervertebral disc.