腰椎滑脱手术中复位困难的临床治疗研究  

SRS Pedicle Screw System and New Type Reduction System for Treatment Lumbar Spondylolisthesis

作　　者：朱大成[1] 张强[2] 陈君生[1] 高建伟[1] 刘学义[1] 初培罡[1] 

机构地区：[1]解放军第88医院全军骨科中心,山东省泰安市271000 [2]解放军第306医院全军脊柱外科中心

出　　处：《中国骨与关节损伤杂志》2008年第11期893-895,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的评价运用脊柱滑脱复位固定系统(SRS)加新型椎体复位系统治疗峡部不连性腰椎滑脱症的治疗效果。方法临床共治疗62例腰椎峡部不连性滑脱,按症状改善、骨性融合、内固定材料牢固情况进行疗效评价。结果62例获得1～5年随访(平均2年5个月),优47例,良12例,可3例,无症状加重患者。无内固定松动断裂发生。结论SRS系统治疗峡部不连性腰椎滑脱症,结合应用新型椎体复位系统能达到很好的复位及牢固的固定。手术操作简便,2次减压法效果满意。Objective To assess the effective of spondylolisthesis reduction system （SRS） elevating- pull reduction system for surgical treatment of lumbar spinal spondylolisthesis associated with isthrnic spondylolysis. Methods The 62 patients with lumbar spinal spondylolisthesis associated with isthmic spondylolysis were evaluated for symptom improvement, intervertebral bone graft fusion, and internal fixation. Results The 62 patients were followed up from 1 year to 5 years （average 2 years and 5 months）. According to our criterion, excellent results were achieved in 47 patients, good in 12, moderate in 3. No patients got worse. No internal fixation breakage was found. Conclusion SRS internal fixation system and new type reduction system is the key to treatment of lumbar spondylolistesis. Complete reduction and firm internal fixation improve the symptom of patients, which requires simple manipulation and method of two times of pressure reducing.

关 键 词：SRS系统 腰椎滑脱症 植骨融合 

分 类 号：R681.5[医药卫生—骨科学] R563.1[医药卫生—外科学]