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椎弓根器械复位固定后两种融合方法治疗腰椎滑脱的疗效比较 被引量:1

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摘要 【目的】观察比较椎弓根器械复位固定后后外侧融合(SPLF)与后路椎体间融合(SPLIF)治疗腰椎滑脱症的临床疗效。【方法】腰椎峡部不连型滑脱者38例,治疗上分为SPLF组(n=16)和SPLIF组(n=22)。对两组的临床疗效(ODI评分),X线影像学结果及并发症进行比较观察。【结果】两组术后即刻X线影像学结果包括滑脱矫正,滑脱节段椎间隙高度,滑脱节段前突角差异无显著性(P>0.05);术后随访2年,其骨融合率及滑脱节段前突角两组间无显著差异(P>0.05),但在滑脱矫正及滑脱节段椎间隙高度的维持上SPLIF组优于SPLF组(P<0.05)。【结论】椎弓根器械复位固定后行SPLIF在对腰椎滑脱矫正的维持及结构的稳定上较SPLF具有优越的力学性能。
出处 《医学临床研究》 CAS 2006年第7期1128-1130,共3页 Journal of Clinical Research
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  • 1胡令东,高文举,郑遵成,朱本珂,汤京云,聂林.腰椎滑脱后路术后远期并发症分析[J].中国矫形外科杂志,2004,12(12):897-899. 被引量:13
  • 2DS Bradford, O Boachie Adjei. Treatment of severe spondylolisthesis by anterior and posterior reduction and stabilization. A long-term follow-up study. J Bone Joint Surg (Am), 1989, 71:62.
  • 3JH Healey. Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and inter-transverse process arthrodesis. J Bone Joint Surg (Am),1992, 74:792.
  • 4MD Smith, HH Bohlman. Spondylolisthesis treated by a single-stage operation combining decompression with in situ posterolateral and anterior fusion. An analysis of eleven patients who had long-term followup. J Bone Joint Surg (Am), 1990, 72:415.
  • 5AV Bonnici, SB Koka, DJ Richards. Results of Buck screw fusion ingrade I spondylolisthesis. J. R. Soc, Med, 1991, 84:270.
  • 6Suk S,Lee CK,Kim WJ,et al.Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylolytic spondylolisthesis[ J ].Spine,1997,22 (2):210 -220.
  • 7Katonis P,Christoforakis J,Kontakis G,et al.Complications and problems related to pedicle screw fixation of the spine[ J ].Clin Orthop Relat Res,2003,6(411):86 -94.
  • 8La Rosa G,Conti A,Cacciola F,et al.Pedicle screw fixation for isthmic spondylolisthesis:does posterior lumbar interbody fusion improve outcome over posterolateral fusion[ J ] ? J Neurosurg,2003,99 (2):143-150.
  • 9Molinari RW,Sloboda JF,Arrington EC.Low-grade isthmic spondylolisthesis treated with instrumented posterior lumbar interbody fusion in U.S.servicemen[ J ].J Spinal Disord Tech,2005,18:24-29.
  • 10唐天驷,胡有谷,党耕町.我国脊柱外科五十年的发展[J].中华外科杂志,1999,37(9):550-553. 被引量:20

共引文献69

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  • 1张强,邹德威,马华松,海涌.后路斜向腰椎关节固定术治疗腰椎退行性不稳[J].中国矫形外科杂志,2006,14(11):814-816. 被引量:14
  • 2Freeman BC,Licina P,Mehdian SH.Posterior lumbar interbody fusion combined with instrumented postero-lateral fusion 5-6-year results in 60 patients[J].Fur Spine J,2000,9:42.
  • 3Panjabi MM.Clinical spinal instability and low back pain[J].J Electromyogr Kinesiol.2003,13(4):371-379.
  • 4Sonntag VK,Mareiano FF.Is fusion indenced of lumbar spinal disorders[J]? Spine,1998,6:464-473.
  • 5Freeman BJ,Licina P,Mehdian SH.Posterior lumbar interbody fusion combined with instrumented postero-lateral fusion:52years results in 60 patients[J].Fur Spine J,2000,9(1):42-46.
  • 6La Rosa G,Conti A,Cacciola F,et al.Pedicle screw fixation for isthmic spondylolisthesis:does posterior lumbar interbody fusion improve outcome over posterolateral fusion[J]?JNeurosurg,2003,9(Suppl 2):143-150.
  • 7Madan S,Boeree NR.Outcome of posterior lumbar interbody fusion versus posterolateral fusion for spondylolytic spondylolisthesis[J].Spine,2002,27(14):1536-1542.
  • 8Christensen FB.Lumbar spinal fusion:outcome in relation to surgical methods,choice of implant and postoperative rehabilitation[J].Acta Orthop Scand Suppl,2004,75(313):2-43.
  • 9Fritzell P,Hagg O,Nordwall A.Complications in lumbar fusion surgery for chronic low back pain:comparison of three surgical techniques used in a prospective randomized study:a report from the Swedish Lumbar Spine Study Group[J].Eur Spine J,2003,12(2):178-189.
  • 10徐宏光,王以朋,邱贵兴,仉建国,杨新宇,于斌,费琦,赵其纯.腰椎管狭窄症伴不稳定性腰椎退变性滑脱的手术治疗[J].中华外科杂志,2002,40(10):723-726. 被引量:31

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