自体骨椎间融合术腰椎滑脱症的临床疗效
Clinical Efficacy of Interbody Fusion with Autogeneous Bone in the Treatment of Lumbar Spondylolisthesis
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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.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.
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Key words:
- Lumbar spondylolisthesis /
- Intervertebral fusion /
- Autogeneous bone
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