PLIF加椎弓根内固定治疗腰椎间盘源性腰痛  

Lumbar discogenic low back pain treated with posterior lumbar interbody fusion and transpedicular instrumentation

作　　者：胡朝晖[1] 李康华[2] 李兵[1] 李龙[1] 唐运鹏[1] 刘华彦[1] 吴康[1] 

机构地区：[1]广西柳州市人民医院骨科,柳州545001 [2]中南大学湘雅医院骨科,长沙410008

出　　处：《中国矫形外科杂志》2007年第17期1300-1303,共4页Orthopedic Journal of China

摘　　要：[目的]研究后路椎体间融合加椎弓根固定治疗腰椎间盘源性腰痛的手术疗效。[方法]36例腰椎间盘源性下腰痛,选择后路椎体间植骨融合(posterior lumbar interbody fusion,PLIF)加椎弓根螺钉系统内固定术。分别于术前、术后对病人的腰痛情况进行视觉疼痛自我评定(visual analogue scale,VAS)评分,同时评估术后腰椎融合率。[结果]术后随访时间8～28个月,平均16个月。36例行PLIF治疗者,33例术后腰腿痛症状基本消失,3例仍有轻度腰痛,术前、术后VAS腰痛评分,差异有统计学意义(P<0.01)。行PLIF患者,融合率为90%。[结论]严格掌握手术适应证,后路腰椎椎体间融合术(PLIF)加椎弓根内固定是治疗腰椎间盘源性下腰痛的有效方法。[ Objective ] To explore the curative effect of lumbar discogenic low back pain treated with posterior lumbar interbody fusion （PLIF） and transpadicular instrumentation. [ Method ] Thirty-six patients with lumbar discogenic low back pain were treated with disc excision, lumbar interbody fusion and transpedicular instrumentation. The clinical results were evaluated by pre-and post-operative VAS （visual analogue scale）, and the fusion rates were evaluated by X-ray of the lumbosacral spine. [ Result] The average period of follow-up was 16 months, ranging from 8 to 28 months. Low back pain basically disappeared in 33 patients treated with PLIF, mild back pain occurred in 3 patients; the VAS after operation decreased significantly in comparison with that of preoparation （ P 〈0.01 ）. The fusion rate was 90 % in patients who were treated with PLIF. [ Conclusion] Disc excision combined with interbody fusion is an effective method for the treatment of lumbar discogenic low back pain, but the operation indications should be known well.

关 键 词：椎间盘源性 PLIF 下腰痛 

分 类 号：R687.3[医药卫生—骨科学]