腰椎融合器在腰椎退行性病变治疗中的疗效分析  

Analysis of clinical effect of lumbar fusion cage in the treatment of lumbar regressive disease

作　　者：徐格[1] 许建中[1] 

机构地区：[1]第三军医大学附属西南医院全军矫形外科中心,重庆400038

出　　处：《中国骨伤》2006年第1期16-19,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的：分析80例使用腰椎融合器患者的疗效，评价腰椎融合器在治疗退行性病变腰椎疾病中的应用效果。方法：应用相对椎间隙高度、Taillard指数、腰椎曲线指数、节段前凸角、全腰椎前凸角等影像学检查指标及Greenough临床疗效标准，对80例使用腰椎融合器的腰椎退行性变的患者进行临床随访，对比分析术前术后及随访结果，评价治疗效果。结果：所有患者术前相对椎间隙高度平均为0．69（0．62～0．76），术后平均为1．24（1．14-1．34）；Taillard指数术前平均为0．32（0．24-0．40），术后平均为0．03（0．02-0．04），手术疗效良好率达到91％。术后出现1例融合失败，发生率为1％。结论：腰融合器是治疗腰椎退行性病变的有效方法，应用时应掌握其准确的适应证和植入技术，避免并发症发牛。Objective：To analyze the clinical effect of lumbar fusion cage in the treatment of lumbar regressive disease. Methods： 80 patients with lumbar regressive disease were treated by lumbar fusion cage, of which clinical results were retrospectively analyzed before and after operation. Follow up including relative height of vertebral space, Taillard index, index of lumbar spinal curvature, angle of segmental and full lordosis. The clinical effects were evaluated according to the standard of Greenough. Results：The relative height of vertebral space was respectively 0.69（0.62-0.76） andl.24（1.14-1.34） with an average before and after operation. Taillard index was respectively 0.32（0.24 -0.40） and 0.03（0.02 - 0.04） before and after operation. 1 case occurred failure of fusion after operation. Conclusion： The lumbar fusion cage is an effective method in the treatment of lumbar regressive disease. Clinical application must choose accruate adaptation type avoiding complication.

关 键 词：退变性腰椎疾病 腰椎融合术 椎间融合器 

分 类 号：R246.2[医药卫生—针灸推拿学] R644[医药卫生—中医临床基础]