椎弓根钉、椎板钩加峡部植骨术治疗腰椎峡部不连  

The Surgical Treatment of Lumbar Spondylolysis with the Pedicle Screw-lamina Hook Plus Isthmic Bone Grafting

作　　者：朱军[1] 孙海燕[2] 王英胜[1] 王谦军[2] 孙家树[2] 宋元进[2] 王爱兰[2] 

机构地区：[1]潍坊医学院研究生院,潍坊261042 [2]解放军第89医院脊柱外科,潍坊261021

出　　处：《中国现代手术学杂志》2011年第1期35-38,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨椎弓根螺钉、椎板钩加峡部植骨术治疗腰椎峡部不连的手术方法及疗效。方法 8例腰椎峡部不连患者采用椎弓根螺钉、椎板钩加峡部植骨固定治疗,并对手术结果进行分析。结果术前及术后随访VAS评分分别为6.20±1.26和1.93±0.81,JOA评分分别为20.06±1.16、27.89±0.66,差异有明显统计学意义(P<0.05)。患者术后X线片示峡部裂植骨均骨性愈合,优6例,良2例。结论椎弓根螺钉、椎板钩加峡部植骨术治疗腰椎峡部不连是单节段固定,对腰椎的正常生理活动范围干扰及手术创伤均较小,是一种简单、有效的术式。Objective To observe and research the surgical method and clinical results of the pedicle screw-lamina hook plus isthmic bone grafting for the lumbar spondylolysis.Method Eight cases of lumbar spondylolysis had been treated with the pedicle screw-lamina hook plus isthmic bone grafting,and the surgical results were studied.Results Preoperative and postoperative VAS score was 6.20±1.26,1.93±0.81 respectively and the JOA score was 20.06±1.16,27.89±0.66 respectively,and the difference was statistical significant（P0.05）.The bone fusion was roentgenologically observed in all patients.As a result,6 patients were graded in excellent and 2 good.Conclusion Compared with the multi-segmental fixation and interbody fusion,the pedicle screw-lamina hook plus isthmic bone grafting is a single-fixation,and this operation is technically simple and no sacrifices of lumbar motion ranges,and it is proved to be effective.

关 键 词：腰椎 脊椎滑脱 内固定器 植骨 

分 类 号：R687.3[医药卫生—骨科学]