摘要
目的 探讨采用椎板回植与椎弓根钉系统一体化固定腰椎滑脱合并神经损伤手术中的疗效.方法 应用椎板回植与椎弓根钉系统一体化固定技术治疗腰椎滑脱合并神经损伤53例,L3～4滑脱4例,L4～5滑脱29例,L5～S1滑脱20例,退行性滑脱37例,单节段峡部崩裂性滑脱16例.结果 53例均随访3年以上（3年8个月～7年2个月）,全部病例回植椎板均在术后3～4个月达到良好的骨性融合,无对神经产生新的压迫,无症状复发和腰椎滑脱加重.结论 椎板回植与椎弓根钉系统一体化固定在治疗腰椎滑脱合并神经损伤应用中操作简单、安全、可靠,具有恢复局部结构和维持脊柱稳定性的特点.
Objective To evaluate the effect of regrafted laminae and transpedicular screw system integrated fixation for lumbar spondylolisthesis associated with neurological injury. Methods The technique of regrafted laminae and transpedicular screw system integrated fixation was performed to treat lumbar spondylolisthesis associated neurological injury in 53 patients, including 4 cases of L3 -4 spondylolisthesis ,29 cases of L4-5 spondylolisthesis, 20 cases of L5 - S1 spondylolisthesis,37 cases of degenerative spondylolisthesis, 16 cases of spondylolisthesis with single lumbar segment spondylolysis. Results All of the patients were followed up for more than 3 years （ from 3 years and 8 months to 7 years and 2 months） ,and got bony healing of reimplanted lamina. No recompression of the nerves and instability of lumbar spine occurred in this group. Conclusions Treatment of lumbar spondylolisthesis with neurological injury by regrafted laminae and transpedicular screw system integrated fixation has advantages of restoring the anatomy and keeping stability of the spine.
出处
《临床骨科杂志》
2006年第3期209-211,共3页
Journal of Clinical Orthopaedics
关键词
脊椎前移
内固定器
椎板回植
神经减压
spondylolisthesis
internal fixators
regrafted laminae
neurological decompression
