摘要
目的探讨椎间植骨融合,椎弓根内固定系统在腰椎间盘切除术的应用和临床效果。方法回顾总结2000～2005年收治的采用半椎板切除,腰椎间盘髓核摘除、后路椎弓根钉内固定、椎间植骨融合术31例。男20例,女11例,年龄28～64岁,平均41岁,病程6个月～3年。全部病例进行临床随访评定结果。结果31例经1～6年随访,平均3.6年。按Nakal分级疗效评定:优、良率达95%以上。结论腰椎间盘突出髓核摘除,同时行椎间融合,后路椎弓根内固定。促进椎间融合并以维持椎间隙稳定,疗效满意,无严重并发症发生。
Objective To study the clinical outcomes of interbody fusion with transpedicular screw fixation in the treatment for lumbar intervertebral disk displacement. Methods Retrospective analysis 31 cases, from 2000 to 2005, who where treated by interbody fusion with teanspedicular screw fixation , in the lumbar interrertebral disk. Displacement, there were 20 males and 11 females. The age of patients ranged from 28 to 64 years with an average age of 41 years. The time was 6 months to 3years. All of the cases were systemic followed up,and hand a clinic eraluation. Results 31 cases were followed up form 1 -6 years（ average 3.6 years）. Excellent rate was 95% by the standand Nakal. Conclusion Removal of residual disk, transpedicular screw instrumentation and interbody fusion is prover helpful in management of spinal instalinify secondary to decomoression surgery. Providing successful interbody fusion and restoration of the intervertebral stabinity.
出处
《延安大学学报（医学科学版）》
2008年第3期43-44,共2页
Journal of Yan'an University:Medical Science Edition
关键词
椎间盘移位
椎间植骨
内固定
intervertebral disk displacement
Lumbar fusion fixation
