摘要
目的:比较几种不同后路手术方式治疗腰椎退变滑脱症的临床疗效。方法:65例患者根据是否可行内固定及融合方式分成A(单纯椎板减压+后外侧植骨)、B(椎弓根固定+后外侧植骨)、C(椎弓根固定+椎体间自体植骨)、D(椎弓根固定+椎体间融合+Cage)4组,采用ODI评分方法对患者术前术后的情况进行评估,VAS评分标准进行疼痛程度评估,SUK标准对患者手术前后的正侧位片及动力位片进行融合评估。结果:所有病例均获得1～2年随访,B、C、D 3组在腰椎稳定性及临床疗效方面均优于A组,D组在椎间高度、生理曲度维持方面均优于A、B、C 3组。结论:后路椎弓根螺钉内固定加椎体间Cage植骨融合是治疗腰椎退变滑脱的理想术式。
Objective：To investigate the therapeutic effectiveness of different surgical methods for degenerative lumbar spondylolisthesis. Methods：According to the individual condition, 65 patients were divided into group A, B, C, and D. ODI scoring system was applied to evaluate preoperative and post--operative states, while VAS scoring system was used to assess preoperative and post operative pain degree. Evaluation of lumbar fusion before and after the surgery was conducted by X-ray test. Result：All cases were followed up for 1 to 2 years. Group B, C and D were superior to group A on lumbar sta bility and clinical curative effect, while D group was superior to the others on interbody height and spinal curvature. Conclusion：Pedicle screw fixation combined with Posterior lumbar interbody fusion is a safe and effective method in the treatment of lumbar spondylolisthesis.
出处
《中国中医骨伤科杂志》
CAS
2011年第1期25-26,29,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
广州中医药大学创新基金资助项目(K0070048)
关键词
腰椎退变滑脱
后路椎间融合
椎弓根
Spondylolisthesis
Posterior lumbar interbody fusion
Pedicle of vertebral arch
