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经椎间孔单枚融合器与椎弓根钉治疗腰椎滑脱症的临床研究

Clinical research on single fusion cage through foramen intervertebrale and pedicle screw used to cure lumbar spondylolisthesis

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【作者】 王人彦华永均孟春张玉柱汤志刚王国平毛权张亚军郭志辉

【Author】 WANG Ren-yan*,HUA Yong-jun,MENG Chun,et al.*Traditional Chinese Medical Hospital of Fuyang city in Zhejiang Province,311400,China.

【机构】 浙江省富阳市中医骨伤医院

【摘要】 目的:评价经椎间孔入路单枚椎间融合器植入结合椎弓根钉系统复位固定融合治疗腰椎滑脱症的应用价值。方法:对30例腰椎滑脱症,经椎间孔入路单枚椎间融合器植入结合短节段椎弓根钉复位系统,行减压、复位、内固定、椎体间及后外侧植骨融合等治疗。结果:经10~28个月,平均13.6个月随访,短时神经功能障碍1例,临床疗效优良率93.3%,椎间融合率96.7%。结论:经椎间孔入路单枚椎间融合器植入加短节段椎弓根钉复位固定融合术操作简单,并发症少,治疗费用低,临床疗效满意。

【Abstract】 OBJECTIVE:To estimate the clinical value of single interbody fusion cage planted through the approach of foramen intervertebrale combined with pedicle screw system(positioning,fixing and coalescing) used to cure lumbar spondylolisthesis.Methods:30 cases of patients with lumbar spondylolisthesis were cured by the methods above.And the measures of decompression,positioning,internal fixation and bone graft fusion in the intermedial and posterolateral of centrums.Results: they were made for follow up,from 10 months to 28 months,average for 13.6 months.there had 1 case of short-time functional disturbance on nerve,the fine rate of clinically curative effect was 93.3%,and the fusion rate was 96.7%.Conclusion: the methodabove was an effective approach on curing lumbar spondylolisthesis for it could simplify operative procedures,reduce complications,degrade cost of management and obtain satisfactory curative effect.

【基金】 浙江省富阳市科技发展计划重点项目(编号07A20);浙江省富阳市“315”优秀中青年人材培养资助项目
  • 【文献出处】 中医正骨 ,The Journal of Traditional Chinese Orthopedics and Traumatology , 编辑部邮箱 ,2009年03期
  • 【分类号】R687.3
  • 【被引频次】7
  • 【下载频次】44
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