摘要
目的探讨后路减压复位固定、棘突椎板原位回植并360°环状植骨融合治疗峡部裂性腰椎滑脱的临床价值与疗效。方法自2008-01-2011-02月,对18例腰椎峡部裂性滑脱患者,男11例,女7例,年龄24～60岁,平均45.5岁,应用经后路减压复位固定棘突椎板原位回植并360°环状植骨融合治疗。术后通过Asher评分与影像学检查评价手术疗效。结果 18例均获随访,随访12～36个月,根据Asher评分标准,优12例,良5例,可1例。优良率94.4%。手术前后各指标(椎间隙高度、滑脱角、骶骨倾斜角)比较差异均有显著性(P<0.05),术后1周与随访1年时各项指标比较差异无显著性(P>0.05)。结论采用经后路减压复位固定、棘突椎板原位回植并360°环状植骨融合是治疗峡部裂性腰椎滑脱的有效方法,且操作简单,疗效好,保留后柱结构等优点,值得临床推广使用。
objective To study the clinical results of posterior reduction and fixation,spinous process-vertebral plate in situ replantation and 360 Degree fusion with bone grafting in treating lumber isthmic spondylolisthesis. Methods From January 2008 to February 2011,There were 18 lumber isthmic spondylollsthesis patients with 11 males and 7 females （age for 24-60 years and an average course of 45.5 years） treated by posterior reduction and fixation,spinous process-verte- bral plate in situ replantation and 360 Degree fusion with bone grafting. The operative effect was assessed according to Asher classification and radiologic results. Results All cases were followed up for 12-36 months with the results of excellent in 12 cases,good in 5 and fair in 1 and good rate was 94.4% according to Asher classification. Postoperative height of intervetebral space,the spondylisthesis angle,sacral inclination were significant different to preoperation （P〈0.05）,and the difference was not sigmificant between 1 week postoperatively and 1 year postoperatively （P〉0.05）. Conclusion Posterior reduction and fixation,spinous process-vertebral plate in situ replantation and 360 Degree fusion with bone grafting is a feasible method to treat lumber isthmic spondylolisthesis with satisfactory ersuhs and advantoges such as simply operation,highly effective,retentively posteri- or column structure. It should be to promote clinical use.
出处
《颈腰痛杂志》
2013年第1期26-29,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
腰椎滑脱
峡部裂
内固定
脊柱融合术
棘突椎板原位回植
lumber spondylolisthesis
isthmic
internal fixation
spinal fusion
spinous process-ver- tebral plate in situ replantation
