摘要
目的研究椎弓根钉钩板(PSHP)复位固定治疗腰椎滑脱的远期疗效,并提出PSHP术式的适应征。方法对12例施行椎弓根钉钩板复位固定治疗腰椎滑脱的患者(男5例,女7例,年龄25觸53岁,平均38岁),进行了近期平均6.3月,远期平均9年10个月的随访,进行影像学测量,包括滑脱率、滑脱角、椎间盘指数、融合率,并按日本骨科学会(JOA)标准进行评分。结果PSHP术后,近期随访滑脱率、滑脱角、椎间盘指数、JOA评分均明显改善,远期随访滑脱率、滑脱角、椎间盘指数有少量的丢失,JOA评分略有增加,融合率达91.7%,无一例断钉发生。结论椎弓根钉钩板(PSHP)复位固定治疗腰椎滑脱可以最大限度的保留脊柱功能,只要手术适应征选择正确,可以取得良好的长期疗效。
Objective To evaluate the long term efficacy of the treatment of lumbar spondylolisthesis with Pedicle Screws Hook Plate(PSHP),and explore operation indication with PSHP. Methods From July 1993 to July 1994,12 patients(5 male,7 female,age ranged from 25 years to 53 years with an average of 38 years)with lumbar spondylolisthesis were performed with Pedicle Screws Hook Plate(PSHP)and followed up with an average of 6.3 months and 9 years 10 months respectively.The radiography was measured,including slipping percentage,slipping angle,disc index,fusion rate.The clinical efficacy was evaluated by JOA Scoring System and radiography. Results slipping percentage,slipping angle,disc index,and JOA score were all improved in short term follow up,the former three were inceased in long term follow up,but JOA score was better in long term.the fusion rate was 91.7%. Conclusion spinal function was kept and good clinical results was obtained for patiens with lumbar spondylolisthesis by using PSHP,the choice of operation indiction was important.
出处
《颈腰痛杂志》
2004年第4期241-243,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
腰椎滑脱
治疗
lumbar spondylolisthesis
treatment.
