[1]魏社军,王宇,郑标,等.单侧椎弓根螺钉内固定结合椎间融合器植骨融合治疗 相邻双节段腰椎间盘突出症合并腰椎管狭窄[J].中医正骨,2015,27(06):46-48.
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单侧椎弓根螺钉内固定结合椎间融合器植骨融合治疗 相邻双节段腰椎间盘突出症合并腰椎管狭窄()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年06期
页码:
46-48
栏目:
临床报道
出版日期:
2015-06-30

文章信息/Info

作者:
魏社军1王宇2郑标1林科1赵健甫1王鑫1俞能 宝1徐荣明3
1.浙江省杭州余杭骨科医院,浙江 杭州 311000;
2.湖北省宜昌市第三人民医院,湖北 宜昌 443003;
3.浙江省宁波市第六人民医院,浙江 宁波 315040
关键词:
椎间盘移位 腰椎 椎管狭窄 脊柱融合术 椎弓根螺钉 椎间融合器
摘要:
目的:探讨单侧椎弓根螺钉内固定结合椎间融合器植骨融合治疗相邻双节段腰椎间盘突出症合并腰椎管狭窄的临床疗效和 安全性。方法:2011年8月至2013年12月收治16例相邻双节段腰椎间盘突出症合并腰椎管狭窄患者,男6例,女10例。年龄30~64岁 ,中位数52.5岁。L2~3、L3~4突出2例,L3~4、L4~5突出6例,L4~ 5、L5S1突出8例。术前疼痛视觉模拟评分(visual analogue score,VAS)(7.89±0.56) 分,Oswestry功能障碍指数(Oswestry disability index,ODI)评分(43.68±2.65)分。采用单侧椎弓根螺钉内固定结合椎间 融合器植骨融合治疗,随访观察临床疗效和安全性。结果:本组患者均顺利完成手术,置钉过程中未损伤神经根,手术时间 (96.5±15.5)min,术中出血量(291.1±45.9)mL。所有患者均获随访,随访时间12~30个月,中位数22.5个月。末次随访 时VAS评分为(2.67±0.98)分,ODI评分为(12.82±5.68)分,均较术前明显改善(t=-18.499,P=0.000; t=- 19.694,P=0.000)。1例L4~5、L5S1突出患者术后12个月随访时发现椎间融合器内植骨部 分吸收,但无明显临床症状; 2例L4~5、L5S1突出患者术后置于S1的螺母脱落 ,再次手术改为双侧椎弓根螺钉固定。结论:对相邻双节段腰椎间盘突出症合并腰椎管狭窄患者,采用单侧椎弓根螺钉内固定结合 椎间融合器植骨融合治疗,固定稳定、植骨融合率高、腰椎功能恢复好,并发症少,值得临床推广应用。

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备注/Memo

备注/Memo:
2014-12-24收稿 2015-02-13修回
更新日期/Last Update: 2015-06-30