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椎间盘镜结合钉棒内固定材料融合治疗腰椎管狭窄伴Ⅰ度滑脱

Diskoscope combined with screw-rod fixation for the treatment of lumbar spinal stenosis complicated by degreeⅠdislocation
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摘要 应用椎间盘镜结合钉棒内固定材料融合治疗腰椎管狭窄伴Ⅰ度滑脱48例,平均手术时间150min,平均出血量为160mL,平均住院14d,平均随访18个月,4例由于神经根过牵扯发生下肢麻痛症状,经对症处理后消失。置入后无内固定材料松动、断钉、断棒现象发生,无感染、炎症等反应。临床疗效综合评价优良率达95.8%。提示利用椎间盘镜结合钉棒内固定材料融合治疗后椎管得到了有效减压,钉棒系统达到了有效固定,使滑脱得到有效的复位,保持脊柱的稳定性。 Diskoscope combined with screw-rod fixation was used in the treatment of lumbar spinal stenosis complicated by degree Ⅰ dislocation of 48 cases, with an average operation time 150 min, average amount of bleeding 160 mL, average admission for 14 days, and an average follow-up of 18 months. Four cases developed pain in lower limb caused by traction of nerve root, and the symptoms disappeared after symptomatic treatment. No loosening, nail breakage or rod breakage, no infection or inflammatory reaction was found after implantation. Clinical evaluation excellent rate was 95.8 %, indicating that diskoscope combined with screw-rod fixation after spinal fusion for the treatment of decompression has been effective, and the screw-rod system achieves an effective fixation, reduction of spondylolisthesis, and spinal stability.
出处 《中国组织工程研究与临床康复》 CAS CSCD 北大核心 2008年第26期5038-5041,共4页 Journal of Clinical Rehabilitative Tissue Engineering Research
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