摘要
目的 评价获得随访的98例腰椎滑脱症患者的后路减压、复位内固定及植骨融合手术的疗效.方法 腰椎滑脱症患者98例,男38例,女60例.根据Meyerding分级： Ⅰ度滑脱53例,Ⅱ度滑脱29例,Ⅲ度滑脱16例.单节段滑脱85例,2个节段滑脱13例,真性滑脱78例,假性滑脱20例.其中L3滑脱7例,L4滑脱40例,L5滑脱38例.L3、L4滑脱4例,L4、L5滑脱9例.81例合并椎间盘突出,17例合并椎管狭窄.采用后路椎弓根螺钉内固定加椎间与横突间植骨融合或椎间融合器融合方法的进行治疗.结果 根据JOA标准,本组患者术后疗效为优为73例,良15例,可6例,差4例,优良率达89.4%.结论 只要严格掌握手术适应证,手术中仔细操作,选择个性化的减压、复位固定、植骨融合方案,腰椎滑脱症可以获得满意的疗效.
Objective The therapy of surgery were evaluated that 98 follow - up cases Spondylolisthesis were treated with posterior discompression and reduction - fixation and intertransversal fusion. Methods A total of 98 cases of Spondylolisthesis were classified according to Meyerding standard,in which,53 cases had Ⅰ degree,29 cases had Ⅱ degree 16 cases had Ⅱ degree spondylotisthesis. 85 cases had one lumber spondylotisthesis and 13 cases had two. 78 cases had true lumber spondylotisthesis ,20 cases had untrue lumber spondylotisthesis. Lumber 3 spondylotisthesis had 7 cases, Lumber 4 spondylotisthesis 40 cases, and Lumber 5 spondylotisthesis 38 cases, Lumber 3 and Lumber g spondylotisthesis had 4 cases,Lumber 4 and Lumber 5 spondylotisthesishad 9 cases. In which, 81 cases had lumber disc herniation, 17 cases had lumbar spinal stenosis at the same time. The patients were treated with posterior discompression and reduction - fixation and intertransversal fusion. Results According to the clinical effect evaluation ceiterion of JOA among 98 cases,73 cases were excellent, 15 cases were good,6 cases two cases were fair,4 cases two cases were bad, the excellent and good rate was 89.4%. Conclusion Lumbar spondylolisthesis with suitable operation indication, had satisfactory treatment efffects through care operation, personal discompression, reduction - fixation and intertransversal fusionin.
出处
《临床外科杂志》
2010年第8期563-564,共2页
Journal of Clinical Surgery
关键词
腰椎滑脱
后路减压
内固定
融合
spondylolisthesis
posterior discompression
reduction - fixation
intertransversal fusion
