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后路椎弓根钉内固定加椎间植骨融合治疗腰椎不稳症 被引量:17

Treatment of Lumbar Instability with Posterior Pedicle Screw and Lumbar Fusion
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摘要 目的 探讨退变性腰椎不稳症的手术适应证及技术要点。方法 对 36例退变性腰椎不稳症行后路椎体间融合和上下关节突间植骨以及相应节段椎弓根钉内固定术。结果  31例经 8~ 31个月随访 ,平均 14个月。依据日本JOA评分法 ;优良率87 1%。结论 后路椎弓根钉内固定加椎间融合术是治疗重度退变性腰椎不稳症的有效手术方式。 Objective To study the surgical indications and techniques points for the patients with severe lumbar instability.Methods The operation of lumbar and articular process fusion with bone grafting,and pedicle screw fixation had been performed on 36 patients.Results Thirty-one cases were followed up from 8~31 months (average 14 months).Excellent rate was 87.1% by the standard of JOA.Conclusion The operation of posterior pedicle screw and lumbar fusion is an effective way of treating severe lumbar instability.
出处 《中国骨与关节损伤杂志》 2005年第2期88-90,共3页 Chinese Journal of Bone and Joint Injury
关键词 后路椎弓根钉 内固定 椎间植骨融合术 腰椎不稳症 手术方式 Lumbar instability Lumbar fusion Bone graft
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参考文献3

  • 1赵慧毅,梅芳瑞,叶欣,冯庆烈,陈国能.腰椎管狭窄症的手术减压与内固定选择(259例临床分析)[J].中国脊柱脊髓杂志,2003,13(1):18-21. 被引量:31
  • 2Yone K, Sakou T, Kawauchi Y, et al. Indication of fusion for lumbar spinal stenosis in elderly patients and its significance. Spine,1996,21:24.
  • 3Booth KC, Bridwell KH, Eisenberg BA, et al. MINIMUN 5 -years resalts of degenerative spondilolisthesis treated with decompression and instrumented posterior fusion. Spine, 1999, 24 ( 22 ):1721.

二级参考文献8

  • 1Booth KC, Bridwell KH, Eisenberg BA,et al.Minimum 5-years resalts of degenerative spondilolisthesis treated with decompression and instrumented posterior fusion[J].Spine, 1999,24(22):1721-1727.
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  • 7赵慧毅,叶欣,冯庆烈,成有生.椎板间开窗潜行减压治疗退行性腰椎管狭窄症(115例分析报告)[J].骨与关节损伤杂志,1999,14(5):303-305. 被引量:4
  • 8林志雄,赵慧毅,冯庆烈,叶欣.腰椎管内径扩大成形术治疗腰椎管狭窄症(附59例报告)[J].福建医药杂志,2001,23(4):95-97. 被引量:2

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