摘要
目的总结手术治疗成人峡部裂型腰椎滑脱症的临床疗效。方法回顾总结自2004年1月～2008年5月收治的采用腰椎椎间隙撑开复位、椎间融合内固定术治疗的45例成人峡部裂型腰椎滑脱症的临床资料。术后应用Oswestry功能障碍指数、JOA评分及影像学检查对临床疗效进行评价。结果平均手术时间130 min,术中出血量平均410 ml。随访时间24～60个月,平均38个月。末次随访ODI为(25.4±4.2)%、JOA评分为(25.8±1.2)分,与术前相比差异有统计学意义(P<0.001),临床疗效满意率为86.7%。滑移程度末次随访为(9.8±3.9)%,滑脱复位率为74.3%,2年融合率为97.7%。结论应用椎间隙撑开复位、椎间融合内固定治疗成人峡部裂型腰椎滑脱症,疗效确切,操作简单、安全,并发症少。
Objective To explore the clinical outcomes of operative treatment of adult lumbar isthmic spondylolisthesis. Methods From Jan. 2004 to May 2008, 45 patients with isthmic spondylolisthesis underwent operation with intervertebral space distraction reduction and posterior lumbar interbody fusion using one diagonal fusion cage with transpedicular screw fixation. A score of JOA and the Oswestry Dis- ability Index were used to assess clinical outcome. Results The average surgical time was 130 minutes, with the average intraoperative blood loss of 410 ml. All cases were followed up for an average of 38 months （range, 24-60 months）. The slippage degree was （9.8±3.9）% at final follow-up with the reduction rate of 74.3%, fusion rate at two year follow-up of 97.7%. Average at final follow-up OD1 and JOA score were （25.4±4.2）% and 25.8±1.2 respectively and clinical satisfaction rate was 86.7%. Conclusion Intervertebral space distraction reduction and posterior lumbar interbody fusion using one diagonal fusion cage with transpedicular screw fixation for treatment of lumbar isthmic spondylolisthesis has the advantages of excellent clinical results, reliable easy manipulation, safety and fewer complications.
出处
《中国骨与关节损伤杂志》
2011年第7期580-582,共3页
Chinese Journal of Bone and Joint Injury
基金
上海市科委医学重点项目(编号09411952900)
关键词
腰椎滑脱症
峡部裂
复位
内固定
脊柱融合术
Lumbar spondylolisthesis
Isthmic
Reduction
Internal fixation
Spinal fusion
