RF椎弓根螺钉系统复位内固定并椎间植骨融合术治疗腰椎滑脱症  

Treatment of lumbar spondylolisthesis with posterior interbody fusion and RF pedicle screw spinal system

作　　者：陈治权 王义生[2] 

机构地区：[1]河南省新密市第一人民医院外四科 [2]郑州大学第一附属医院骨科,450052

出　　处：《中国实用医刊》2010年第9期10-11,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨RF椎弓根螺钉系统复位内固定并椎间植骨融合术治疗腰椎滑脱症的效果.方法 自2000年2月至2008年2月,采用RF椎弓根螺钉系统复位内固定并椎间植骨融合术治疗并获得随访的真性腰椎滑脱症37例,其中Ⅰ度滑脱6例,Ⅱ度滑脱27例,Ⅲ度滑脱4例.滑脱节段:第3腰椎(L3)滑脱3例,L4滑脱9例,L5滑脱25例.结果 所有患者术后随访12～38个月,平均32.7个月.根据侯树勋等制定的疗效评定标准及融合率:优31例,良4例,可2例,优良率94.6%.术中并发症1例,发生率为2.7%.手术完全复位率88.9%,椎间融合率100%.结论 RF椎弓根螺钉系统复位内固定并椎间植骨融合术能使腰椎滑脱得到较为确实的复位和固定,脊柱融合率高,临床效果满意.Objective To evaluate the clinical effect of lumbar spondylolisthesis treated by posterior lumbar interbody fusion and RF pedicle screw spinal system. Methods From February 2000 to February 2008,37 cases of lumbar spondylolisthesis were included in this study according to Meyerding classification,roentgengram showed that there were 6 cases of grade Ⅰ,27 cases of grade Ⅱ,4 cases of grade Ⅲ. All patients obtained followed up, were treated with posterior decompression of total laminectomy and bilateral nerve canal, lumbar interbody fusion was done with RF pedicle screw spinal system. Results All the patients were followed up from 12-38 months with an average of 32.7 months. According to standard of Hou Shu-xun and fusion rate after operation,the therapeutic effect was excellent in 31 cases,good in 4 cases, fair in 2 cases,the satisfactory rate was 94.6%. During operation complication occurred in 1 case with the incidence rate of 2.7%. Surgical reduction rate was 88.9%. The bony fusion was seen in all patients. Conclusions Posterior lumbar interbody fusion and RF pedicle screw spinal system provide fixation with satisfactory clinical results and relatively high fusion rate.

关 键 词：椎弓根螺钉系统 复位内固定 椎间植骨融合术 术治疗 腰椎滑脱症 pedicle screw lumbar SPONDYLOLISTHESIS 融合率 therapeutic effect operation treated Results reduction RATE incidence RATE classification 疗效评定标准 术中并发症 效果满意 术后随访 发生率 

分 类 号：R687.3[医药卫生—骨科学]