摘要
[目的]比较经后路腰椎三柱融合与二柱融合治疗腰椎不稳的方法和疗效。[方法]收集了七年来采用椎间融合术治疗的各种原因引起的腰椎不稳共78例,随访2年以上,按融合方法不同分为三柱融合组(A组)40例与二柱融合组(B组)38例,对两种融合方法在手术时间、术中出血量、肢体功能恢复、椎间融合率、并发症发生率、腰椎生理前凸丢失6个指标进行回顾性分析和比较研究。[结果]A、B两组在手术时间、出血量、肢体功能恢复、椎间融合率四方面无统计学意义(P>0.05);在腰椎生理前凸丢失率方面差异有统计学意义(P<0.05),在术后并发症发生率方面差异有统计学意义(P<0.01)。[结论]经后路椎间融合术治疗腰椎不稳,三柱融合和二柱融合均能获得良好的椎间融合及肢体功能恢复,但三柱融合比二柱融合术后腰椎生理前凸的丢失和并发症更少。
[ Objective] To compare the clinical results of 3 - column fusion versus 2 - column fusion on lumbar instability. [ Method ] Seventy-eight patients with lumbar instability underwent posterior lumbar fusion in the past seven years. Forty pa- tients were divided into 3 - column fusion group and 38 patients into 2 - column fusion group. The efficacy of the two fusion methods was evaluated on operation period, blood loss, functional recovery, spinal fusion rate, complication rate, and the mainte- nance of the lumbar lordosis. The follow - up periods last at least 2 years. [ Result] The 3 - column fusion group had lower com- plication rate, and better maintenance of the lumbar lordosis. While the spinal fusion rate, operation period, blood loss, functional recovery had no significant difference between the 2 groups. [ Conclusion ] Both 2 - column or 3 - column fusion can get high fu- sion rate, improved functional recovery, but 3 - column lumbar fusion patients had better maintenance of the lumbar lordosis and fewer complications.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2013年第24期2460-2466,共7页
Orthopedic Journal of China
