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[1]劉會文,陳緒林,曾景平,等.腰椎后路椎間自體骨移植Cage融合聯(lián)合萬向椎弓根螺釘內(nèi)固定治療腰椎峽部裂性滑脫[J].中醫(yī)正骨,2018,30(07):70-72,75.
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腰椎后路椎間自體骨移植Cage融合聯(lián)合萬向椎弓根螺釘內(nèi)固定治療腰椎峽部裂性滑脫()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年07期
頁碼:
70-72,75
欄目:
臨床報道
出版日期:
2018-07-20

文章信息/Info

作者:
劉會文陳緒林曾景平邵斌袁志峰
(江西省景德鎮(zhèn)市第一人民醫(yī)院,江西 景德鎮(zhèn) 333000)
關鍵詞:
脊椎滑脫 腰椎 脊柱融合術 骨移植 內(nèi)固定器 萬向椎弓根螺釘
摘要:
目的:觀察腰椎后路椎間自體骨移植Cage融合聯(lián)合萬向椎弓根螺釘內(nèi)固定治療腰椎峽部裂性滑脫的臨床療效和安全性。方法:2015年10月至2017年9月,采用腰椎后路椎間自體骨移植Cage融合聯(lián)合萬向椎弓根螺釘內(nèi)固定治療腰椎峽部裂性滑脫患者21例。男8例,女13例。年齡24~69歲,中位數(shù)43歲。L4滑脫10例,L5滑脫11例。按照Meyerding腰椎滑脫分度標準,Ⅰ度8例、Ⅱ度13例。所有患者均有不同程度的腰痛、腰骶部墜脹及下肢疼痛,其中9例伴有間歇性跛行; 均無大小便失禁。病程2~10年,中位數(shù)6年。術后隨訪觀察滑脫椎體復位、椎間植骨愈合、椎間高度恢復、腰椎功能恢復及并發(fā)癥發(fā)生情況。結果:所有患者均獲隨訪,隨訪時間6~15個月,中位數(shù)11個月。腰椎滑脫均獲得解剖復位或接近解剖復位。20例術后6個月椎間植骨融合,1例術后12個月椎間植骨融合。術前和術后1個月、6個月,21例患者Oswestry腰椎功能障礙指數(shù)分別為(57.6±10.4)%、(21.4±11.2)%、(20.1±11.4)%,椎間隙高度(腰椎側位X線片上前、中、后椎間盤高度的平均值)分別為(6.5±1.0)mm、(12.3±1.2)mm、(11.5±2.0)mm,滑脫距離(腰椎側位X線片上滑脫椎體后壁至下位椎體后壁的距離)分別為(15.0±2.1)mm、(1.5±1.0)mm、(1.2±0.5)mm。所有患者腰痛、腰骶部墜脹及下肢疼痛癥狀較術前均有所好轉,間歇性跛行減輕,均恢復日常生活和工作。1例發(fā)生淺表感染,通過換藥后感染得到控制; 所有患者均未發(fā)生硬膜撕裂、神經(jīng)根損傷、腦脊液漏、椎間隙感染、椎弓根螺釘松動、椎體再滑脫、假關節(jié)形成等并發(fā)癥。結論:采用腰椎后路椎間自體骨移植Cage融合聯(lián)合萬向椎弓根螺釘內(nèi)固定治療腰椎峽部裂性滑脫,復位效果好,植骨融合率高,椎間高度和腰椎功能恢復好,并發(fā)癥少,值得臨床推廣應用。

參考文獻/References:


[1] 吳群生.后路減壓椎弓根釘棒系統(tǒng)內(nèi)固定聯(lián)合椎間融合器植骨融合治療腰椎滑脫癥[J].中醫(yī)正骨,2016,28(11):30-33.
[2] 顏峰.椎間融合術配合中藥外敷治療退行性腰椎滑脫癥[J].中醫(yī)正骨,2016,28(1):38-40.
[3] WANG G,HAN D,CAO Z,et al.Outcomes of autograft alone versus PEEK+ autograft interbody fusion in the treatment of adult lumbar isthmic spondylolisthesis[J].Clin Neurol Neurosurg,2017,155:1-6.
[4] MEYERDING HW.Spondylolisthesis,surgical fusion of lumbosacral portion of spinal column and interarticular facets,use of autogenous bone grafts for relief of disabling backache[J].J Int Coll Surg,1956,26(5 Part 1):566-591.
[5] FAIRBANK JC,PYNSENT PB.The oswestry disability index[J].Spine(Phila Pa 1976),2000,25(22):2940-2952.
[6] 饒書城,宋躍明.脊柱外科手術學[M].3版.北京:人民衛(wèi)生出版社,2007:528
[7] WEINSTEIN JN,TOSTESON TD,LURIE JD,et al.Surgical versus nonsurgical therapy for lumbar spinal stenosis[J].N Engl J Med,2008,358(8):794-810.
[8] LIU X,WANG Y,QIU G,et al.A systematic review with meta-analysis of posterior interbody fusion versus posterolateral fusion in lumbar spondylolisthesis[J].Eur Spine J,2014,23(1):43-56.
[9] MÜSLÜMAN AM,YILMAZ A,CANSEVER T,et al.Posterior lumbar interbody fusion versus posterolateral fusion with instrumentation in the treatment of low-grade isthmic spondylolisthesis: midterm clinical outcomes[J].J Neurosurg Spine,2011,14(4):488-496.
[10] CHENG L,NIE L,ZHANG L.Posterior lumbar interbody fusion versus posterolateral fusion in spondylolisthesis:a prospective controlled study in the Han nationality[J].Int Orthop,2009,33(4):1043-1047.
[11] 侯樹勛,史亞民,吳聞文,等.腰椎滑脫手術適應證和術式選擇[J].中華骨科雜志,1998,18(12):707-710.
[12] MOREAU S,LONJON G,GUIGUI P,et al.Reduction and fusion in high-grade L5-S1 spondylolisthesis by a single posterior approach. Results in 50 patients[J].Orthop Traumatol Surg Res,2016,102(2):233-237.
[13] ZHONG ZM,DEVIREN V,TAY B,et al.Adjacent segment disease after instrumented fusion for adult lumbar spondylolisthesis:Incidence and risk factors[J].Clin Neurol Neurosurg,2017,156:29-34.
[14] LAL H,KUMAR L,KUMAR R,et al.Inserting pedicle screws in lumbar spondylolisthesis-The easy bone conserving way[J].Journal of Clinical Orthopaedics and Trauma,2017,8(2):156-164.
[15] 白印偉,張琪,劉一.萬向椎弓根螺釘生物力學性能的研究進展[J].吉林醫(yī)學,2006,27(11):1301-1302.
[16] KUKLO TR,POTTER BK,POLLY DW,et al.Monaxial versus multiaxial thoracic pedicle screws in the correction of adolescent idiopathic scoliosis[J].Spine(Phila Pa 1976),2005,30(18):2113-2120.
[17] KURZ LT,GARFIN SR,BOOTH RE.Harvesting autogenous iliac bone grafts.A review of complications and techniques[J].Spine(Phila Pa 1976),1989,14(12):1324-1331.
[18] 聶林,侯勇,張慶國,等.PLIF手術在腰椎滑脫中的應用探討[J].中國矯形外科雜志,2005,13(7):497-499.
[19] XU DS,BACH K,URIBE JS.Minimally invasive anterior and lateral transpsoas approaches for closed reduction of grade Ⅱ spondylolisthesis:initial clinical and radiographic experience[J].Neurosurg Focus,2018,44(1):4.

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備注/Memo:
通訊作者:袁志峰 E-mail:[email protected]
更新日期/Last Update: 2018-11-30