摘要
目的:探讨单节段钢板固定并椎体间融合器融合在治疗腰椎管狭窄并失稳中的临床疗效。方法:对120例腰椎管狭窄并失稳的病人,施行椎管扩大减压的同时,应用单节段钢板固定并椎体间融合器融合治疗,通过临床评价,观察术后近期疗效和远期疗效及并发症情况。结果:术中未发生血管、神经等重要组织结构的损伤,经10个月～5年的随访,术后症状均得到不同程度的改善,无内固定物松动及断裂,所有植骨均达骨性融合,近期和远期疗效均取得了良好的临床效果。结论:单节段钢板固定并椎体间融合器融合可最大限度地减少脊柱运动节段的丢失,进而减少相邻节段椎体退变及椎体不稳发生率。具有直视下置钉、单节段固定、操作简洁、方便、术中复位、固定可靠,融合率高、内固定无需取出,并发症少、疗效满意,有利于腰椎稳定性重建及脊髓神经功能恢复等优点,在治疗腰椎管狭窄并失稳症中显示出其独特的优势。
Objective： To investigate the clinical curative effect of single segment screw fixation and lumbar interbody fusion on lumbar spinal stenosis and instability. Methods： Based on enlargement and decompression of spinal canal, 120 patients with lumbar spinal stenosis and instability were treated additionally with single segment screw fixation and lumbar inter body fusion. The short--term effect, long--term effect and complications were recorded. Results： There were no vascular or neural injuries during the operations. After the operations, the patients＇ symptoms were improved in different extent during the follow--up period （10 months to 5 years）. No looseness or breakage of screw occurred. Bony fusion was achieved in all cases and favorable effect was obtained in both short and long terms. Conclusion： Single segment screw fixation and lumbar interbody fusion can maximatily decrease the loss of spinal segment thus decrease the incidence of adjacent vertebra degeneration and instability, displaying satisfactory effect in treating lumbar spinal stenosis and instability.
出处
《中国中医骨伤科杂志》
CAS
2009年第2期31-33,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
单节段
钢板固定
椎体间融合器
腰椎管狭窄并失稳症
Single segment：
Screw fixation
Lumbar interbody fusion
Lumbar spinal stenosis and instability
