摘要
目的:探讨椎弓根螺钉在腰椎间盘突出症再手术中的应用价值.方法:对26例既往有腰椎间盘突出症手术史,术后复发经非手术治疗3～6月以上无效,疼痛剧烈,有明显神经根受压症状的病例,行后路腰椎间盘切除+椎弓根螺钉内固定+植骨融合术.结果:经1～6年随访,22例症状完全缓解,4例明显缓解.结论:椎弓根螺钉能改善腰椎间盘突出症复发再次手术后脊柱稳定性,减少腰椎间盘突出症术后复发.
Objective: To discuss the application of pedicle instrument on reoperation of lumbar disc herniation.Methods: Twenty-six patients with operation history of lumbar disc herniation and postoperative relapse characteristic of acute pain or obvious symptoms associated with compression of nerve roots, which could not be improved after six-month consevative therapy were studied. They underwent resection of lumbar disc for the second time and internal fixation with pedicle instrument and fusion.Results: Twenty-two patients released from discomfort completely,and the others released from discomfort obviously after one to six years′ follow-up. Conclusion:The result showed that pedicle instrument can improve the stability of spine after reoperation of the relapse of lumbar disc herniation and reduce the recurrence.
出处
《中国临床医学》
北大核心
2005年第2期274-274,276,共2页
Chinese Journal of Clinical Medicine
