摘要
目的 探讨后路脊柱融合术在腰椎不稳症应用的临床疗效及重要性。方法 手术治疗腰椎不稳症78例 ,其中男 34例 ,女 4 4例 ;年龄 18- 74岁 ,平均 5 2岁 ;单节段 71例 ,多节段 7例。 78例患者均采用经后侧路后外侧植骨融合术或经后侧路后外侧融合加椎体间植骨融合内固定术 ,有神经根和马尾受压表现的 ,作减压术。结果 随访 3- 2 4个月 ,结果优 6 0例 ,良 10例 ,可 8例。临床植骨融合率 96 %。结论 后路脊柱融合术是目前治疗腰椎退行性不稳症疗效确切的方法之一 ,内固定可显著提高融合率 。
Objective To investigate the clinical effect and importance of posterior spinal fusion treating degenerative lumbar instability syndrome.Method Seventy-eight patients were diagnosed as degenerative lumbar spinal instability by the imaging study of plain radiographs,computerized tomography and MRI.There are34males and44females,aged from18-74years old,with an average of52years.Posterior spiˉnal posterolateral fusion or posterior spinal posterolateral fusion plus interbody bone grafting fusion was performed by means of bone grafting from the iliac crest,The decompression was performed if the symptoms or signs of compression of nerve root and cauda equina.Results After3-24months follow-up,excellent results were obtained in60patients,good in10,and fair in8.The rate of spinal fusion is96%.Conclusion Posterior spinal fusion is an effective operation treating degenerative lumbar instability,internal fixation can enhance the rate of spinal fusion and improve symptoms of patients.
出处
《宁夏医学杂志》
CAS
2004年第7期400-402,共3页
Ningxia Medical Journal
关键词
脊柱融合术
腰椎
关节不稳定性
Spinal fusion
Lumbar vertebrae
Joint instability
