[1]步开东,曹燕,何建,等.后路椎弓根钉棒系统内固定结合Cage椎间植骨融合术治疗创伤性Ⅳ度腰椎滑脱[J].中医正骨,2018,30(03):61-63.
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后路椎弓根钉棒系统内固定结合Cage椎间植骨融合术治疗创伤性Ⅳ度腰椎滑脱()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年03期
页码:
61-63
栏目:
临床报道
出版日期:
2018-03-20

文章信息/Info

作者:
步开东; 曹燕; 何建; 高岚; 胡继超
浙江省荣军医院,浙江 嘉兴 314000
关键词:
脊椎滑脱;  腰椎;  脊柱融合术;  椎弓根钉;  椎间融合器;  骨移植
摘要:
目的:观察后路椎弓根钉棒系统内固定结合Cage椎间植骨融合术治疗创伤性Ⅳ度腰椎滑脱的临床疗效和安全性。方法:2012年3月至2016年5月,采用后路椎弓根钉棒系统内固定结合Cage椎间植骨融合术治疗创伤性Ⅳ度腰椎滑脱患者12例。男8例,女4例。年龄18～62岁,中位数46岁。L5～S1滑脱9例、L4～L5滑脱3例。术后随访观察切口愈合、椎体复位、腰腿痛缓解、腰椎功能恢复及并发症发生情况。结果:手术时间2.1～4.8 h,中位数3.2 h; 术中出血量220～1400 mL,中位数620 mL。所有患者均获得随访,随访时间15～36个月,中位数21个月。切口均甲级愈合。滑脱椎体成功复位8例,遗留Ⅰ度椎体滑脱4例。椎间隙高度均基本恢复,脊柱稳定性均良好,腰腿痛症状均明显缓解。均无滑脱复发、融合器后移、融合器下沉和内固定松动、断裂等并发症发生。末次随访时,参照Nakai评分标准评价疗效,优7例、良4例、可1例。结论:采用后路椎弓根钉棒系统内固定结合Cage椎间植骨融合术治疗创伤性Ⅳ度腰椎滑脱,复位成功率高,能提高腰椎稳定性、缓解腰腿痛和改善腰椎功能,并发症少,值得临床推广应用。

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更新日期/Last Update: 2018-08-02