西南军医
西南軍醫
서남군의
JOURNAL OF MILITARY SURGEON IN SOUTHWEST CHINA
2015年
3期
256-259
,共4页
朱钧%李峰%蒲丹%李永平%肖业生%罗光平%杨长远%胡安文%袁泉
硃鈞%李峰%蒲丹%李永平%肖業生%囉光平%楊長遠%鬍安文%袁泉
주균%리봉%포단%리영평%초업생%라광평%양장원%호안문%원천
后路腰椎间融合%腰椎滑脱%结构性植骨
後路腰椎間融閤%腰椎滑脫%結構性植骨
후로요추간융합%요추활탈%결구성식골
posterior lumbar interbody fusion%lumbar spondylolisthesis%structural bone graft
目的：探讨腰椎自体附件结构性植骨治疗腰椎滑脱症的有效性及可行性。方法102例腰椎滑脱症患者，术中后路椎管减压切除腰椎棘突、椎板及关节突等附件骨，并将其回植椎间隙，作椎弓根螺钉内固定。术后随访1~10年（平均6.5年），随访患者症状缓解程度、椎间植骨融合情况、JOA评分、VAS评分、并发症，并作患者满意度调查。结果102例患者症状均有缓解。术后、术后1年及最终随访时临床恢复率分别为80.30％、85.80％和85.10％。在术后3、6、12月患者融合率分别为26.5%、81.2%、97.9%。患者满意率达97.9％。结论腰椎附件结构性植骨生物融合能力及支撑能力可以满足临床需要，腰椎附件结构性植骨内固定治疗腰椎滑脱症可以取得满意疗效。
目的：探討腰椎自體附件結構性植骨治療腰椎滑脫癥的有效性及可行性。方法102例腰椎滑脫癥患者，術中後路椎管減壓切除腰椎棘突、椎闆及關節突等附件骨，併將其迴植椎間隙，作椎弓根螺釘內固定。術後隨訪1~10年（平均6.5年），隨訪患者癥狀緩解程度、椎間植骨融閤情況、JOA評分、VAS評分、併髮癥，併作患者滿意度調查。結果102例患者癥狀均有緩解。術後、術後1年及最終隨訪時臨床恢複率分彆為80.30％、85.80％和85.10％。在術後3、6、12月患者融閤率分彆為26.5%、81.2%、97.9%。患者滿意率達97.9％。結論腰椎附件結構性植骨生物融閤能力及支撐能力可以滿足臨床需要，腰椎附件結構性植骨內固定治療腰椎滑脫癥可以取得滿意療效。
목적：탐토요추자체부건결구성식골치료요추활탈증적유효성급가행성。방법102례요추활탈증환자，술중후로추관감압절제요추극돌、추판급관절돌등부건골，병장기회식추간극，작추궁근라정내고정。술후수방1~10년（평균6.5년），수방환자증상완해정도、추간식골융합정황、JOA평분、VAS평분、병발증，병작환자만의도조사。결과102례환자증상균유완해。술후、술후1년급최종수방시림상회복솔분별위80.30％、85.80％화85.10％。재술후3、6、12월환자융합솔분별위26.5%、81.2%、97.9%。환자만의솔체97.9％。결론요추부건결구성식골생물융합능력급지탱능력가이만족림상수요，요추부건결구성식골내고정치료요추활탈증가이취득만의료효。
Objective To discuss the effectiveness and feasibility of structural auto-graft of lumbar vertebrae appendage in the treat-ment of lumbar spondylolisthesis. Methods 102 cases with lumbar spondylolisthesis were enrolled;posterior lumbar canal decompres-sion was performed,as well as the resection of spinous process, vertebral lamina and articular process, which were replanted into the in-tervertebral space and fixed with pedicle screw;follow-up lasted from 1 year to 10 years with the average of 6.5 years, symptom relief, fusion, JOA scores, VAS scores, complications and the patient satisfaction were observed. Results Symptom relief was found in all the 102 cases;the clinical recovery rate at the time point of after surgery, 1 year after surgery and at the last follow-up was 80.30%, 85.80%and 85.10%respectively;the fusion rate at the time point of 3, 6 and 12 months after surgery was 26.5%, 81.2%and 97.9%respectively;the patient satisfaction reached 97.9%. Conclusions The biological fusion and supporting ability of structural auto-graft of lumbar verte-brae appendage can meet the need in clinic and structural auto-graft of lumbar vertebrae appendage with internal fixation is of satisfacto-ry effect on lumbar spondylolisthesis.
