极外侧型腰椎间盘突出症合并腰椎弓峡部裂的治疗  

Treatment of Extreme Lateral Lumbar Disc Herniation Combination with Lumbar Spondylolysis

作　　者：文睿[1] 叶飞[1] 王清[1] 

机构地区：[1]泸州医学院附属医院脊柱外科,四川泸州646000

出　　处：《中国现代医生》2009年第2期1-2,共2页China Modern Doctor

摘　　要：目的探讨合并腰椎弓峡部裂的极外侧型腰椎间盘突出症手术治疗方法。方法回顾性研究一组合并腰椎弓峡部裂的极外侧型腰椎间盘突出症病人共13例,男性8例,女性5例;平均年龄37.5岁。所有病人均经过X线、CT、MRI检查,采用腰椎间盘切除联合椎弓根螺钉系统与椎间植骨融合术治疗。结果所有病例随访3～8年,平均46个月。13例患者手术后,优10例、良2例、可1例。椎体间植骨均融合良好,未见假关节形成和根性疼痛复发,椎间高度及复位程度无丢失。结论腰椎间盘切除联合椎弓根螺钉系统与椎间植骨融合是治疗极外侧型腰椎间盘突出症合并腰椎弓峡部裂的有效治疗方案。Objective To approach the treatment principle of extreme lateral lumbar disc herniation incorporate with lumbar spondylolysis. Methods 13 patients（male 8, female 5, average 37.5 years old） with spondylolisthesis and extreme lateral lumbar disc herniation were analyzed retrospectively. All cases were evaluated by radiological examinations including X-rays,computed tomography,magnetic resonance image Adopt lumbar disc herniation excision and internal fixation of pedicle screw system and interbody bone graft fusion. Results All patients had been follow-up for 3 -8 years（average 46 months）. The effect of treatment was also obtained, 10 in excellent,2 in good, 1 in fair, 0 in bad. Fusion area got spinal fusion. No internal fixation loosening was found. No pseudoarthrosis formation and root painrecurrence was found. The correcting position and height of intervertebra space were kept. Conclusion As for the treatment of extreme lateral lumbar disc herniation incorporated with lumbar spondylolysis,lumbar disc herniation excision and internal fixation of pedicle screw system and interbody bone graft fusion is a effective treatment prescription.

关 键 词：极外侧型腰椎间盘突出症 腰椎椎弓峡部裂 

分 类 号：R681.5[医药卫生—骨科学]