CD HORIZON前路内固定系统治疗退行性腰椎管狭窄症  

Treatment of Regressive Lumbar Spinal Stenosis with CD HORIZON Internal Fixation System by Anterior Approach

作　　者：余铮[1] 罗新乐[1] 李振宇[1] 闫洪印[1] 颜滨[1] 

机构地区：[1]深圳市第二人民医院脊柱外科,广东省创伤救治科研中心骨科,广东深圳518035

出　　处：《实用骨科杂志》2004年第6期488-490,共3页Journal of Practical Orthopaedics

摘　　要：目的　探讨 CD HORIZON前路内固定系统治疗退行性腰椎管狭窄症的应用价值。方法　对 2 1例退行性腰椎管狭窄症患者经从前路行椎管扩大减压植骨、CD HORIZON内固定术 ,术后经 3～ 30个月 ,平均 9个月的随访。结果　 17例术前腰痛、间歇跛行症状完全消除 ,下肢乏力基本消除 ,术后 1个月戴腰围行走 80 0～ 15 0 0 m ,2例术前双下肢肌力 0级 ,术后 2个月恢复至 4级。手术优良率 90 .5 %。结论　前路 CD HORIZON系统治疗退行性腰椎管狭窄症可以达到有限化的椎管扩大、融合和固定 ,不过多干扰脊髓 。Objective To discuss the value of Treatment of regr essive lumbar spinal stenosis with CD HORIZON internal fixation system by anterior approach. Methods 21 cases of regressive lumbar spinal stenosis were operated with vertebral canal decompression, bone graft and CD HORIZON internal fixation system by anterior approach. They were followed up 3～30 months(average 9 months). Results 17 cases with symptom of low back pain, intermittent claudication preoperative were vanished postoperative. Inertia of lower limb nearly recovered. They can walk 800～1 500 meters wearing waistline 1 month after operation. 2 cases′ myodynamia recover to grade 4 postoperative from grade 0 preoperative. The fine rate of treatment was 90.5%. Conclusion Treatment of regressive lumbar spinal stenosis with CD HORIZON internal fixation system by anterior approach may augment vertebral canal, fix and confluence spine. It had little interaction to spine cord. The effect of clinical treatment was satisfied.

关 键 词：前路 内固定系统 治疗 退行性 腰椎管狭窄症 

分 类 号：R681.5[医药卫生—骨科学]