摘要
目的探讨应用椎弓根螺钉内固定术治疗复发性腰椎间盘突出症的临床效果。方法 2007年1月—2011年9月对32例复发性腰椎间盘突出症采用后路全椎板减压髓核摘除+椎弓根螺钉内固定+自体骨椎间植骨融合术进行治疗,以Oswestry功能障碍指数(ODI)评定术后疗效。结果本组均获随访,随访时间为6～12个月,平均7.8个月。临床疗效:优27例,良3例,可2例,优良率为93.8%。术前ODI为(42.2±7.3)%,术后终末随访ODI为(6.8±2.9)%,差异有统计学意义(P<0.05)。无神经损伤等并发症发生。结论椎弓根螺钉内固定术是治疗复发性腰椎间盘突出症较合适的术式,进行良好减压的同时可重建腰椎稳定性。
Objective To investigate the clinical effect of pedicle screw internal fixation in treatment of recurrent lumbar disc herniation.Methods 32 patients with recurrent lumbar disc herniation during January 2007 and September 2011 were treated with the operation of laminectomy combined with discectomy,pedicle screw internal fixation and posterior lumbar intervertenral space fusion with autologous bone,and the effect of all patients were analyzed by Oswestry disability index（ODI）.Results All patients were followed up for 6 months to 12 months and an average time was 7.8 months.Clinical efficacy were excellent in 27 cases,good in 3 cases,common in 2 cases,and excellent rate was 93.8%.Preoperative ODI was（42.2±7.3）%,after operation final follow-up ODI was（6.8±2.9）%,the difference was statistically significant（P0.05）.There was not the complication of nerve injury.Conclusion Pedicle screw internal fixation is a good technique in treating recurrent lumbar disc herniation which can decompress and reconstruct lumbar spine stability at the same time.
出处
《解放军医药杂志》
CAS
2012年第10期12-15,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
椎间盘移位
腰椎
复发
内固定器
Intervertebral disk displacement
Lumbar vertebraee
Recurrence
Internal Fixators
