摘要
目的探讨内窥镜X-Tube系统联合Sextant-R系统微创治疗腰椎滑脱症的临床疗效。方法共收治腰椎滑脱症52例,其中峡部裂型22例,退变性30例。均采用X-Tube系统下减压、植骨及融合,Sextant-R系统下进行置钉及滑脱提拉复位。采用VAS疼痛评分评估术前和术后1年的疼痛情况;采用腰椎JOA功能评分对术前及术后1年的腰椎功能进行评估、并计算改善率;术后1年复查X片评估滑脱复位率、内固定物位置及融合情况。结果 VAS评分和JOA评分术前与术后1年比较差异有显著性(P<0.05);随访1年椎体滑脱复位率和融合率分别91.7%和94.1%,所有患者无融合器移位、沉降及椎弓根钉断裂现象。结论 X-Tube系统联合Sextant-R系统微创治疗腰椎滑脱症具有创伤小及术后恢复快等优点,是一种安全、有效的手术方法。
[ Objective ] To analyze the effectiveness of minimally invasive surgical management for lumbar spondylolisthesis via endoscopic X-Tube system assisted Sextant-R system. [Methods] 52 patients with lumbar spondylolisthesis included isthmic spondylolisthesis （n =22） and degenerative spondylolisthesis （n =30）, were performed minimally invasive via X-Tube system for decompression and fusion, via Sextant-R system for fixation and reduction. VAS score system was used to evaluate back pain the pre-and post operative （12 months）. JOA score system was used to evaluate the pre-and post operative （12 months） score and improvement rate. X-ray was used to evaluate the reduction of spondylolisthesis and the fusion rate post operative （12 months）. [Results] The VAS and JOA score showed statistical significance （P 〈0.05） between preoperative and 12 months postoperation. The reduction of spondylolisthesis was 91.7%, and the fusion rate was 94.1% at 12 months postopertively. There were no cage displacement and subside, no screw fracture in all patients. [ Conclusion ] Minimally invasive surgical management for lumbar spondylolisthesis via X-Tube system assisted Sextant-R system is less injure and short recovery time with safety and effectiveness.
出处
《中国内镜杂志》
CSCD
北大核心
2014年第8期832-835,共4页
China Journal of Endoscopy
关键词
腰椎滑脱症
微创
腰椎融合术
经皮椎弓根固定
spondylolithesis
minimally invasive
lumbar interbody fusion
percutaneous pedicle screw fixation
