摘要
目的探讨用DIAPASON系统治疗退变性腰椎管狭窄的近期治疗效果。方法应用椎板减压、神经根松解、椎间植骨融合、DIAPASON系统固定治疗退变性腰椎管狭窄患者20例。手术节段：L4-5，节段10例，L5-S1节段6例，L4-5合并L5-S1者4例。结果20例手术全部成功，术后无感染及内固定失败等并发症，随访6～18个月，8例患者腰腿痛消失，11例症状改善，1例无变化。17例行走功能改善。3例有泌尿功能障碍的患者中2例症状改善，1例无改变。结论后路行椎管减压、神经根松解、应用DIAPASON系统内固定、椎间植骨融合治疗退变性腰椎管狭窄症近期疗效满意。
Objective To study the clinical outcome of DIAPASON fixation in treating lumbar spinal stenosis. Methods 20 patients with lumbar spinal stenosis were treated with decompression , DIAPASON surgical system fixation and interbody fusion . The spinal segments involved L4-5 in 10 cases , L5- S1 in 6 cases, L4-5 and L5 - S1 in 4 cases. Results 20 cases were followed up for from 6 months to 18 months. None of them had severe complications. Lower back pain disappeared in 8 cases,improved in 11 and unchanged in 1.17 patients got walking improvement. Of the 3 patients with urinary symptoms , 2 got symptomatic improvement. Conclusions Through posterior approach with decompression, DIAPASON fixation and interbody bone graft fusion to treat the degenerative lumbar spinal stenosis can provide good short-term results .
出处
《临床骨科杂志》
2006年第4期303-305,共3页
Journal of Clinical Orthopaedics
