经椎间孔椎间融合固定治疗急慢性腰椎间盘损伤回顾性分析  

Retrospective analysis of transforaminal lumbar interbody fusion for the treatment of acute and chronic lumbar intervertebral disc injury

作　　者：孙俊[1] 汪颖峰[1] 罗俊杰[1] 

机构地区：[1]黄山市人民医院骨科,安徽黄山245000

出　　处：《解剖学研究》2011年第3期219-222,共4页Anatomy Research

摘　　要：目的总结经椎间孔椎间融合术(TLIF)治疗腰椎间盘急慢性损伤的疗效。方法 2007年7月-2010年10月应用双侧椎板部分切除减压后行TLIF融合固定,治疗腰椎间盘急慢性损伤10例共12个节段,男6例,女4例,年龄38～72岁,平均年龄51岁。腰椎退行性变伴神经根管狭窄1例,慢性腰椎滑脱3例,急性外伤性腰椎滑脱伴双侧神经根损伤2例,腰椎间盘突出合并腰椎失稳4例。结果全部患者均未出现神经系统并发症,平均随访10(6～48个月)个月,根据Denis疼痛分级、JOA评分法,术后平均改善率90%。结论 TLIF方法可在充分减压的前提下获得脊柱的即刻稳定同时完成植骨,融合率高,并发症少,用于腰椎间盘急、慢性损伤中、短期随访临床效果肯定。Objective To summary the effect of treatment of lumbar intervertebral disc in acute and chronic injury by transforaminal lumbar interbody fusion （transforaminal lumbar interhody fusion, TLIF）. Methods From in July 2007 to October 2010, application of bilateral partial laminectomy decompression underwent TLIF fixation, treatment of lumbar intervertebral disc in 10 cases of acute and chronic injury in a total of 12 segments of 6 males and 4 females, aged 38-72 years, mean age 51 years. Lumbar degenerative changes associated with nerve root canal stenosis in 1 case, 3 cases of chronic lumbar spondylolisthesis, acute traumatic spondylolisthesis with bilateral nerve root injury in 2, lumbar disc herniation with lumbar instability in 4 cases. Results All patients with no neurological complications were followed up for 10 （6 to 48 months） months, according to Denis pain ratings, JOA score, mean postoperative improvement rate of 90%. Conclusion TLIF method can obtain the full relief under the premise of the immediate stability of the spine bone graft done at the same time, fusion rate and few complications, for lumbar intervertebral disc with acute and chronic injury, the effects are short-term clinical affirm.

关 键 词：腰椎间盘损伤 椎间孔 椎弓根螺钉 椎间孔椎间融合术 

分 类 号：R687.3[医药卫生—骨科学]