摘要
目的:调查腰椎管狭窄症患者合并腰椎不稳的情况,为手术方式选择提供一定依据。方法:收集2008年1月至2010年12月间在我科行手术治疗资料齐全的90例腰椎管狭窄症患者,测量腰椎过伸过屈位片上椎体间的移位及椎间成角差,利用Bambakidis等的诊断标准观察腰椎管狭窄症术前存在腰椎不稳的比例,对结果进行分析。结果:腰椎管狭窄症患者术前合并不稳有47例患者共59个节段,占全部的42.4%(59/139),其中30例女性患者术前存在不稳,男性17例。女性腰椎不稳的发生率较男性高(P<0.05)。结论:腰椎管狭窄患者狭窄节段术前合并不稳的比例较高,对于术前存在不稳的腰椎管狭窄患者采用椎弓根内固定及椎间融合技术是合理的。
Objective： To investigate the rate of lumbar spinal stenosis complicated with lumbar instability and give some ideas for the choice of surgery. Methods： Ninty cases of lumbar spinal stenosis undergoing surgery in Zhongda Hospital of Southeast University between 2008 and 2010 were investigated retrospectively. Angulation or segmental instability was measured in flexion-extension X-rays according to Bambakidis etc who diagnosed lumbar instability, and then the results were analysed. Results： Lumbar spinal stenosis with instability in 47 patients with 59 segments, the total rate 42.4% （59/139）, including 30 female cases and 17 male cases. The rate of lumbar instability in female was higher than that in male （ P 〈0. 05 ）. Conclusion： The rate of lumbar spinal stenosis with instability in segmental stenosis is high. Surgical internal fixation and bone graft fusion for the treatment of lumbar spinal stenosis complicated with lumbar instability is reasonable.
出处
《现代医学》
2013年第5期303-306,共4页
Modern Medical Journal
关键词
腰椎管狭窄症
腰椎不稳
减压
内固定
融合
lumbar spinal stenosis
lumbar instability
decompression
internal fixation
fusion
