后路椎弓根螺钉固定加椎体间融合术治疗复发性腰椎间盘突出症  

Posterior pedicle screw fixation and intervertebral fusion for recurrent lumbar intervertebral disc protrusion

作　　者：袁维[1] 徐建广[2] 

机构地区：[1]上海市第八人民医院骨科,上海200235 [2]上海交通大学附属第六人民医院骨科

出　　处：《脊柱外科杂志》2008年第4期221-223,共3页Journal of Spinal Surgery

摘　　要：目的探讨应用后路椎弓根螺钉固定加椎体间植骨融合术治疗复发性腰椎间盘突出症的临床效果。方法2004年7月～2007年10月对20例复发性腰椎间盘突出症患者应用后路扩大椎板切除神经减压＋椎弓根螺钉固定，联合自体骨填塞Cage行椎间融合术进行再手术治疗，应用目测类比疼痛评分法（VAS）及ODI功能障碍指数进行术后疗效评定。结果随访时间为6～36个月，平均13．6个月，所有患者腰腿痛症状得到有效缓解，椎间植骨融合良好，无断钉及融合器移位等并发症。结论椎弓根螺钉系统联合椎间融合器是治疗复发性腰椎间盘突出症较理想方法，它可同时进行神经根减压及重建腰椎稳定性。Objective To study the clinical effect of posterior pedicle screw fixation and intervertebral fusion for the surgical treatment of recurrent lumbar intervertebral disc protrusion. Methods From July 2004 to Oct. 2007, 20 patients with recurrent lumbar intervertebral disc protrusion underwent reoperation with broadening posterior nerve root decompression, pedicle screw fixation and interbedy fusion with cage. The effect of the operation was evaluated by visual analogy scale（VAS） and Oswestry disability index（ODI） post-operatively. Results The average follow-up time was 13.6 monthS （from 6 to 36 months）. The backleg pain of all the cases were relieved effectively. The interbedy fusion was well without screws breakage or loosing. Conclusion Pedicle screw fixation and intervertebral fusion with cage was a good technique for the recurrent lumbar intervertebral disc protrusion that can decompress nerve root and reconstruct lumbar spine stability at one time.

关 键 词：腰椎 椎间盘移位 内固定器 脊柱融合术 

分 类 号：R681.533.1[医药卫生—骨科学]