RF与Cage联合应用对腰椎滑脱患者椎体复位及腰椎功能恢复的作用(英文)  

Effect of RF internal fixation system combined with Cage on the reduction and functional recovery of lumbar vertebra in patients with lumbar vertebral slippage

作　　者：王瑞[1] 靳安民[1] 宋富立[1] 童斌辉[1] 张辉[1] 

机构地区：[1]解放军第一军医大学珠江医院骨科中心,广东省广州市510282

出　　处：《中国临床康复》2004年第26期5676-5677,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:对于一些腰椎滑脱患者必需手术治疗,方法包括椎管减压、椎体复位、椎体间融合及内固定等。目的:探讨RF内固定系统与椎间融合器(Cage)联合应用对腰椎滑脱患者复位及改善腰椎功能恢复的作用。设计:以诊断为依据的前后对照实验研究。地点和对象:解放军第一军医大学珠江医院骨科中心。45例腰椎滑脱患者,其中男28例,女17例;年龄42～65岁,平均45.2岁。干预:所有45例患者均接受了后路RF内固定系统固定和Cage椎间植入手术治疗。术后应用ODI(Oswestrydisabilityindex)方法评价手术前后临床症状缓解率;应用X射线及CT观察滑脱复位和椎间融合情况。结果:术后3个月临床症状缓解率88.8%;术后6个临床症状缓解率为95.5%。术后6个月椎间融合率为92.2%;术后12～24个月融合率为95.5%。椎间融合器塌陷进入椎体1例;有椎间假关节形成1例。结论:应用RF内固定系统与Cage联合治疗能使腰椎滑脱复位、恢复腰椎的正常解剖结构、固定椎体,提高椎体间融合率、保持椎体间高度、恢复神经根管的容积,从而减轻腰椎滑脱患者的临床症状、恢复腰椎功能。BACKGROUND:For patients with slippage of lumbar vertebrae,surgical treatment is needed in some cases.The surgery therapeutic methods for slippage of lumbar vertebrae include removal and decompression of vertebral lamina,fusion of spinal column,reduction and internal fixation. OBJECTIVE:To explore the therapeutic effects and reduction,using the RF internal fixation system combined with cage in lumbar vertebrae slippage. DESIGN:An auto control and experimental study based on diagnosis. SETTING and PARTICIPANTS:The study was completed in The Center of Orthopaedics,Zhujiang Hospital,and First Military Medical University.Forty five patients with lumbar vertebral slippage were involved.They were 28 males and 17 females aged 42-65 years(45.2 years old on average). INTERVENTIONS:After 45 cases of lumbar vertebral slippage underwent the treatment of RF internal fixation system combined with cage,The Oswestry disability lndex was used to evaluate the curative effect;radiograph and laminal CT scanning were used to observe the reduction of lumbar vertebrae and intervertebral fusion postoperatively. RESULTS:The clinical symptom remission rate was 88.8% at 3 months and 95.5% at 6 months postoperatively.The lumbar interbody fusion rate was 92.2% at 6 months, and 95.5% at 12-24 months postoperatively. Postoperative complication:1 case of implant sinkage and pseudarthrosis was found. CONCLUSION:The RF internal fixation system combined with cage can make reduction,restore of anatomical structure and fixation function of lumbar vertebrae,improve intervertebral fusion,maintain height of intervertebral space and restore capacity of nerve root,which hereby can relieve pain and improve function of the lumbar vertebrae.

关 键 词：椎间盘移位 内固定器 功能恢复 

分 类 号：R681.5[医药卫生—骨科学]