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经后路椎弓根内固定和椎间融合治疗退变性脊柱侧弯 被引量:8

Posterior pedicle screw system and interbody fusion in the treatment of degenerative scoliosis
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摘要 目的 :探讨后路经椎弓根系统和椎间融合治疗退变性脊柱侧弯的临床效果。方法 :总结 1997年 9月至2 0 0 2年 6月经手术治疗的 3 2例退变性脊柱侧弯的矫正效果、并发症和随访结果。结果 :全组病例术后平均侧弯矫正率为 4 7.9% ,疼痛缓解率 90 .6% ,假关节形成 1例 ,腔隙性脑梗塞 1例。平均随访 15个月 (6~ 5 7个月 ) ,随访期间矫正度数及椎间隙高度无丢失 ,融合器无移位。结论 Objective: To investigate clinical results of posterior pedicle screw system and interbody fusion in the treatment of degenerative scoliosis. Methods: From September 1997 to June 2002, 32 cases with degenerative scoliosis were analyzed for operative effect, postoperative complication and follow up results. Results: The average correcting ratio of scoliosis was 47.9%, and pain relief ratio 90.6% . There was one case of pseudoarthritis and one case of brain vessel embolism. After an average 15 month (6-57 months) follow up, there was no loss of correction and height of disc spaces and there was no shift of interbody cages. Conclusion: Posterior pedicle screw combined with interbody fusion is one of safe and effective treatments of degenerative scoliosis.
出处 《北京大学学报(医学版)》 CAS CSCD 北大核心 2003年第2期163-165,共3页 Journal of Peking University:Health Sciences
关键词 脊柱侧凸/外科学 椎管狭窄 椎弓根螺钉 后路腰椎间融合 Scoliosis/surg Spinal stenosis Pedicle screw Posterior lumbar interbody fusion(PLIF)
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  • 1[1]Dick W, Widmer H. Degenerative lumbar scoliosis and spinal stenosis[J]. Orthopade, 1993, 22: 232-242 被引量:1
  • 2[2]Markwalder TM. Surgical management of neurogenic claudication in 100 patients with lumbar spinal stenosis due to degenerative spondylolisthesis[J]. Acta Neurochir Wien, 1993, 120:136-142 被引量:1
  • 3[3]Frazier D, Lipson S, Fossel A, et al. Associations between spinal deformity and outcomes after decompression for spinal stenosis[J]. Spine, 1997, 22: 2025-2029 被引量:1
  • 4[4]Katz JN, Lipson SJ, Lew RA. Lumbar laminectomy alone or with instrumented or noninstrumented arthrodesis in degenerative lumbar spinal stenosis: patient selection, costs, and surgical outcomes[J]. Spine, 1997, 22: 1123-1131 被引量:1

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