自体骨椎间融合术腰椎滑脱症的临床疗效

李强; 陶奇昌; 代建昊; 常彬

自体骨椎间融合术腰椎滑脱症的临床疗效

淮南市第一人民医院骨科

基金项目:

基金：淮南市科技局资金资助项目 (201040600903);

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出版历程
- 收稿日期: 2017-04-21

Clinical Efficacy of Interbody Fusion with Autogeneous Bone in the Treatment of Lumbar Spondylolisthesis

Funds:

基金：淮南市科技局资金资助项目 (201040600903);

摘要

摘要: 目的探讨自体骨后路椎间融合术腰椎滑脱症的临床疗效.方法选取2012年1月至2016年6月来安徽省市第一人民医院就诊的腰椎滑脱症患者21例, 采用自体骨后路椎间融合术治疗, 治疗前后观察患者的影像学资料、临床症状体征, 术后随访观察滑椎复位情况及椎间植骨是否融合.结果 12例优, 8例良, 1例可, 优良率为95.2%;影像学检查结果显示滑脱椎体全部复位;812月后椎间植骨基本融合;术后1周、3个月及1a腰椎滑脱率均显著低于术前 (P<0.05) ;椎间隙高度均显著高于术前 (P<0.05) ;滑脱角度均显著低于术前 (P<0.05) .结论自体骨后路椎间融合术治疗腰椎滑脱症临床效果满意, 值得推广.
- 腰椎滑脱 /
- 椎间植骨融合 /
- 短节段内固定系统
Abstract: Objective To investigate the clinical efficacy of interbody fusion with autogeneous bone in the treatment of lumbar spondylolisthesis. Methods 21 Cases of lumbar spondylolisthesis from January 2012 to June2016 were treated with interbody fusion with autogeneous bone. Before and after treatment, the imaging data, symptoms and signs, postoperative follow-up observation of vertebral reduction and vertebral bone graft fusion were observed and compared. Results In this study, 12 cases were excellent, 8 cases were better, 1 case was good; the excellent and good rate was 95.2%. Imaging results showed all the reduction of spondylolisthesis, the basic fusion of intervertebral bone graft 8 to 12 months after operation. The incidence of lumbar spondylolisthesis at 1 week, 3 months and 1 year after operation was significantly lower than that before operation (P<0.05) ;the intervertebral space height was significantly higher than that before operation (P <0.05) ; the angle of spondylolisthesis was significantly lower than that of preoperation (P <0.05) .Conclusion Interbody fusion with autogeneous bone in the treatment of lumbar spondylolisthesis is satisfactory, and worthy of promotion.
- Lumbar spondylolisthesis /
- Intervertebral fusion /
- Autogeneous bone

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参考文献(14)

[1]	[1]FAN G X, ZHANG H L, GUAN X F, et al.Patient-reported and radiographic outcomes of minimally invasive transforaminal lumbar interbody fusion for degenerative spondylolisthesis with or without reduction:A comparative study[J].Journal of Clinical Neuroscience, 2016, 33 (5) :111-118.
[2]	[2]KUNDER S L, RIJKERS K, HEMERT W L W, et al.Transforaminal versus posterior lumbar interbody fusion as operative treatment of lumbar spondylolisthesis, a retrospective case series[J].Interdisciplinary Neuro Surgery, 2016, 5 (3) :64-68.
[3]周宇, 韦峰, 李超, 等.短节段内固定系统加椎间植骨融合治疗腰椎滑脱症[J].中国脊柱杂志, 2006, 16 (12) :952-953.
[4]李利, 李倩.非手术疗法治疗退行性腰椎滑脱40例[J].中医药导报, 2013, 19 (1) :106-107.
[5]杨志勇, 王开明, 廖亮, 等.后路椎弓根钉内固定联合椎间植骨融合治疗老年腰椎滑脱的效果[J].中国老年学杂志, 2016, 36 (14) :3505-3506.
[6]尹占民.经伤椎椎弓根椎体内植骨结合短节段钉棒系统内固定治疗胸腰椎爆裂性骨折37例分析[J].中国矫形外科杂志, 2012, 20 (4) :369-371.
[7]	[7]SONG D Y, CHEN Z, SONG D W, et al.Comparison of posterior lumbar interbody fusion (PLIF) with autogenous bone chips and PLIF with cage for treatment of double-level isthmic spondylolisthesis[J].Clinical Neurology and Neurosurgery, 2015, 138 (9) :111-116.
[8]张贤, 陈俊君, 葛文杰, 等.急性创伤性腰椎滑脱症的临床特征及后路手术治疗[J].中国脊柱脊髓杂志, 2015, 25 (4) :328-332.
[9]	[9]NAKAI O, OOKAWA A, YAMAURA I.Long-term rentgenographic and functional changes in patients who were treated with wide fenestration for central lumber stenosis[J].Bone Joint Surg (Am) , 1991, 73 (8) :1184-1191.
[10]孙保胜, 孙琳, 胡金刚.撑开提拉复位法治疗儿童腰椎滑脱初步探讨[J].武警医学, 2016, 27 (9) :942-944.
[11]袁海胜.短节段椎弓根螺钉内固定加椎间植骨融合治疗腰椎滑脱症58例分析[J].中国误诊学杂志, 2009, 9 (3) :344-346.
[12]	[12]FENG Y, CHEN L, GU Y, et al.Restoration of the spinopelvic sagittal balance in isthmic spondylolisthesis:posterior lumbar interbody fusion may be better than posterolateral fusion[J].The Spine Journal, 2015, 15 (7) :1527-1535.
[13]朱建华, 张家富, 马克强, 等.腰椎滑脱症两种植骨术式的疗效探讨[J].中国矫形外科杂志, 2016, 24 (5) :474-476.
[14] 刘振宇, 俞一东, 马秋野.TLIF治疗腰椎滑脱症患者疗效及相关影响因素[J].检验医学与临床, 2016, 13 (S1) :198-200.

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