摘要
目的:减少脊柱滑脱手术创伤及对其进行有效安全复位。方法:自行设计研制脊柱滑脱外固定复位器。一期经皮椎弓根钉脊柱滑脱外固定复位器体外固定缓慢复位。二期滑脱椎间前路植骨融合。临床应用47例,41例获随访,其中峡部裂性滑脱32例,退行性滑脱9例;I°滑脱16例,Ⅱ°25例。随访10个月至6年,平均35个月。结果:41例随访病例中,腰痛41例,34例缓解,5例部分缓解,2例无明显改善。下肢放射痛15例,14例症状消失。间歇性跛行35例均消失,行走困难22例获改善。日常工作生活困难者32例均恢复。术后38例滑脱完全复位,3例部分复位。滑脱椎间融合均良好。1例术后完全复位拆架后4个月再现部分滑脱。结论:脊柱滑脱外固定复位器研制应用可行,疗效良好。
To lessen operational injury and reduce displacement for treatment of spondylolisthesis effectively and safely. Methods: We designed and made EFRSS. The operation of the first stage was performed percutaneously by fixating pedicle screws, connecting ERFSS and gradually reducing displacement, the operation of The second stage was performed by intercorporal fusion with iliac bone grafting through anterior access. It was applied in 47 clinical cases, in which 41 cases were followed up. There were 32 cases of isthmic spondylolisthesis, 9 cases of degenerative spondylolisthesis, 16 cases of grade I olisthesis and 25 cases of grade IIolisthesis. The followed-upperiod ranged from 10 months to 6 years (average 36 months). Results: In 41 cases, lower back pain was fully relieved in 34 cases, partly relieved in 5 cases and no evident improvement was observed in 2 cases. Symptom in 14 from 15 patients suffered leg redicular pain disappeared. Twenty-two patients having trouble in walking obtained improvement and all 32 with difficulties in daily working and living recovered. Thirty-eight cases had a complete success after operation, and 3 cases partly. However, one case reappeared partial displacement after 4 months of removing the EFRSS. Conclusion: EFRSS is feasible and the effect of clinical applications of EFRSS is good for the patients with spondylolisthesis.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2004年第4期393-395,415,共4页
Journal of Nanjing Medical University(Natural Sciences)
基金
江苏省卫生厅青年基金(Q9390)
关键词
脊柱滑脱
脊柱峡部裂
外固定
外科治疗
spondylolisthesis
spondylolysis
external fixation
surgical treatment
