椎弓根钉固定结合Telamon椎间融合器治疗腰椎不稳疗效观察  

Clinical Observation on Application of Pedicle Screw Fixation Combined with Telamon Intervertebral Fusion Cages in the Lumbar Spine Instability

作　　者：丁惠强[1] 王自立[1] 乔永东[1] 戈朝辉[1] 

机构地区：[1]宁夏医学院附属医院骨科,银川750004

出　　处：《宁夏医学院学报》2006年第6期492-493,503,共3页Journal of Ningxia Medical College

摘　　要：目的探讨椎弓根钉固定结合Telamon椎间融合器治疗腰椎不稳的疗效。方法对32例腰椎管狭窄并椎间不稳2、1例腰椎滑脱I^III度的患者采用了经椎弓根固定,全椎板切除减压或开窗减压单枚或两枚Tela-mon椎间植入融合术。结果术后随防了3~37个月,根据JOA29分下腰痛评分系统进行了疗效评分,术前平均9.8分,术后平均24分,术后的平均改善率为74%。结论椎弓根钉固定结合Telamon椎间融合器治疗腰椎不稳疗效满意;手术方式取决于患者病情的具体情况。Objective To observe the clinical effects of application of wAicle screw fixation combined with Telamon intervertebal cages in the spine instability. Methods 32cases of lumbar stenosis with lumbar spine instability and 21cases lumbar spondylolisis （Ⅰ～Ⅲ degrees）were treated with pedicle screw fixation combined with intervertebral fusion with one or two Telamon cages. All of the cases were decompressed by laminectomy or semi-larninectomy. Results All of the patients were followed-up 3-37 months and get the scores by JOA 29 scores system of treatment effects of low lumbar pain. The mean score before and after the operation was 9.8 and 24 respectively. Conclusion The clinical effects of the application of pedicle screw fixation combined with Telamon interbody cages in the spine instability are satisfactory. The approach of operation should be decided individually according to the clinical condition of patients.

关 键 词：腰椎不稳 椎弓根钉固定 Telamon椎间融合器 

分 类 号：R687.3[医药卫生—骨科学]