摘要
目的探讨后路椎间融合在腰椎退变性疾病中的应用价值。方法回顾应用后路椎间融合治疗腰椎退变性疾病52例，首次手术43例，二次手术7例，三次手术2例，观察病人症状改善、融合节段椎体的稳定性、椎体融合情况。结果术后随访3—18个月，平均13个月，临床症状在神经损伤轻者均在手术后即刻改善，神经损伤重者术后1个月内有恢复，二次及三次手术者恢复相对稍慢，1例合并陈旧性神经根断裂者症状改善但神经功能恢复不佳；除1例翻修手术椎体复位稍有丢失外其余稳定性均良好；椎体融合在3—6个月内完成。结论后路椎间融合治疗腰椎退变性疾病改善临床症状快捷、彻底、持久，恢复脊椎稳定性可靠，椎体融合确切。
Objective To investigate the value of posterior intervertebral fusion in lumber degnerative disease. Methods Fifty - two patients with lumber degnerative disease had accepted posterior intervertebra fusion. Forty - three cases were performed with operation, seven patients were performed with second operation, and two patients with third operation. After operation the patients＇ symptom promotion, stability and bone union of fusion segment were observed. Results All patients were followed up from three months to eighteen months after operation, and the average was thirteen months. The patients＇ nerves＇ or spinal injury symptom improved instantly after operation if the injury was slight. And the symptom could improve in one month if the injury was severe. The symptom in patients＇ who accepted the second or third operation improved slowly. One case with nerve root rupture did not have satisfactory nerve recovery except for the improvement in symptoms. The stability of fusion segment in lumber vertebra was good while one patient with revision operation had no good reduction. All patients had bone union of fusion lumber vertebra in three to six months after operation. Conclusions Posterior lumber intervertebral fusion in lumber vertebra degnerative disease improves symptoms quickly and entirely. This method also reconstructed the stability of spine exactly and achieved bone union reliably.
出处
《医学信息（手术学分册）》
2007年第11期974-976,共3页
Medical Information Operations Sciences Fascicule
关键词
腰椎退变
后路椎间融合
lumber vertebra degneration
posterior lumber intervertebra fusion
