内固定加植骨融合治疗腰椎间盘突出合并腰椎失稳  

Treatment of lumbar intervertebral disc herniation accompanying with lumbar instability with internal fixation and spinal fusion

作　　者：傅晨[1] 张功林[2] 杨成勇[1] 潘晓瑾[1] 张明建[1] 刘山虎[1] 徐饶[1] 王汝渔[1] 荆鑫[1] 

机构地区：[1]扬州市第一人民医院骨科,江苏扬州225001 [2]兰州军区兰州总医院骨科研究所

出　　处：《中国骨伤》2009年第10期755-756,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨腰椎间盘突出症合并腰椎不稳的手术疗效。方法:自2000年6月至2006年6月,采用后路减压、椎间盘摘除、植骨融合、椎弓根系统内固定手术治疗腰椎间盘突出症合并腰椎不稳46例,男33例,女13例;年龄37～68岁,平均48岁。病程4个月～20年,平均3.5年。单节段21例,双节段22例,3节段3例。结果:46例均获得随访,时间12～45个月,平均25个月。植骨全部愈合,临床症状明显改善,按疗效评定标准:优32例,良8例,可6例,优良率86.9%。结论:对明确诊断存在腰椎不稳合并腰椎间盘突出症的患者,施行髓核摘除、内固定加植骨融合、重建脊柱的稳定性,能获得满意的临床疗效。Objective：To explore operative effect of lumbar intervertebral disc herniation accompanying with lumbar instability. Methods：Form June 2000 to June 2006, 46 patients of lumbar intervertebral disc herniation accompanying with lumbar instability were treated with decompression through posterior approach,diskectomy,spinal fusion and vertebral pedicle internal fixation. Including 33 males and 13 females,the age was from 37 to 68 years with an average of 48 years. The course of disease was from 4 months to 20 years with an average of 3.5 years. There were simple segment in 21 cases,double segments in 22 cases,three segments in 3 cases. Results：All patients were followed up for 12-45 months with an average of 25 months. All cases got solid fusion and clinical symptom improved obviously. According to clinical standard to evaluation,32 cases obtained excellent result,8 good,6 fair. The rate of excellent and good was 86.9%. Conclusion：Diskectomy,spinal fusion and internal fixation can obtain satisfactory clinical effect for lumbar intervertebral disc herniation accompanying with lumbar instability.

关 键 词：椎间盘移位 腰椎 脊柱融合术 外科手术 

分 类 号：R681.53[医药卫生—骨科学] R681.5[医药卫生—外科学]