CAJ | 학술논문

目的：评价后路减压固定加椎间cage融合术治疗腰椎滑脱症的临床疗效。方法：自2009年3月～2013年6月应用椎间cage加椎弓根螺钉固定技术治疗腰椎滑脱症患者22例，其中男13例，女9例，年龄41～67岁，平均48岁。其中Ⅰ度滑脱14例，Ⅱ度滑脱7例，Ⅲ度滑脱1例。对所有患者术后随访3个月～32个月，平均28个月。结果：所有滑脱基本复位，融合率100％，椎体间高度恢复，症状明显改善， cage位置正常，椎弓根螺钉无松动及断裂。根据邹德威等评分标准，优良率达95．46％。结论：采用cage加椎弓根螺钉固定治疗腰椎滑脱症临床效果好、安全，椎间融合率高，内固定物无断裂、松动，是较为理想的手术方法之一。
목적：평개후로감압고정가추간cage융합술치료요추활탈증적림상료효。방법：자2009년3월～2013년6월응용추간cage가추궁근라정고정기술치료요추활탈증환자22례，기중남13례，녀9례，년령41～67세，평균48세。기중Ⅰ도활탈14례，Ⅱ도활탈7례，Ⅲ도활탈1례。대소유환자술후수방3개월～32개월，평균28개월。결과：소유활탈기본복위，융합솔100％，추체간고도회복，증상명현개선， cage위치정상，추궁근라정무송동급단렬。근거추덕위등평분표준，우량솔체95．46％。결론：채용cage가추궁근라정고정치료요추활탈증림상효과호、안전，추간융합솔고，내고정물무단렬、송동，시교위이상적수술방법지일。
Objective:To research the clinical efficacy of posterior decompression and interbody cage fusion in the treatment of lumbar spondylolisthesis.Methods:From march 2009 to june 2013,I applied interbody fusion and pedicle screw in the treatment of 22 patients with lumbar spondylolisthesis, including 13 males and 9 females, aged 41-67 years, mean 48years old, type I spondylolisthesis 14cases t,ype II spondylolisthesis 7 cases, and III spondylolisthesis patients. All patients were followed up for 3 months to 32months , with an average of 28 months.Results:All the cases slippage were reseted. ,the fusion rate was 100%, the vertebral height and symptoms after operation improved significantly, the cage remain the normal position and the pedicle screw not be loosening and fracture. The excellent rate is 95.46%, ac-cording to the Zou Dewei rating criteria. Conclusion:The fixation with cage and pedicle screw in the treatment of lumbar spondylolisthesis is one of the good methods have the advantages of more safety , interbody fusion rate fixation , without fracture and loosening.