摘要
目的评价先手法牵引复位再器械复位治疗峡部不连性腰椎滑脱症和退变性腰椎滑脱症的治疗效果。方法采用先手法牵引复位滑脱,后椎弓根螺钉系统固定的方法,手术治疗腰椎滑脱症106例。滑脱程度按Meyerding法分级:Ⅰ度65例,Ⅱ度33例,Ⅲ度8例。结果65例Ⅰ度滑脱完全复位,33例Ⅱ度滑脱29例完全复位,4例部分复位,8例Ⅲ度滑脱6例完全复位,2例部分复位,复位率为94.3%。无内固定松动断裂发生。结论采用先手法牵引复位滑脱,然后用提拉钉进一步复位固定,既可以有效地降低提拉钉和钉道之间的剪切应力,又能够降低力臂钉所受到的矢状面的旋转应力,是一种简单而有效的方法。
Objective To estimate the effective of surgical treatment ness of lumbar spinal spondylolisthesis with manual traction and instrument reduction.Methods The 106 patients suffered from lumbar spinal spondylolisthesis were treated with positional traction reduction before instrument reduction,and were evaluated for symptom improvement,intervertebral bone graft fusion,and internal fixation.There were 65 cases in grade Ⅰ,33cases in gradeⅡand 8 cases in gradeⅢ.Results The 106 patients were followed up from 9-48 months （average 24 months）. According to our criterion, excellent results were achieved in 85 patients, good in 6, moderate in 5. correct rade is 94. 3%. No further slippage was found. Conclusion To achieve full correct of the spondylilisthesis deformity with less complications, the manual distraction reduction before instrumented reduction is an effective method.
出处
《医药论坛杂志》
2009年第13期1-2,5,共3页
Journal of Medical Forum
基金
河南省医学料技重点攻关项目(20070211)
