腰椎峡部裂患者37例手术疗效分析  

The effect of operation in 37 patients with lumbar spondylolysis

作　　者：朱灏[1] 唐旭东[1] 毛志有[1] 覃先云[1] 陈学涛[1] 熊开军[1] 

机构地区：[1]中国人民解放军第37医院骨科,四川雅安625000

出　　处：《临床和实验医学杂志》2011年第14期1091-1093,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的观察椎弓根钉-椎板钩系统治疗腰椎弓峡部裂的临床疗效。方法对37例腰椎峡部裂的患者应用椎弓根钉-椎板钩系统行峡部断端间植骨内固定。结果全部病例均获随访,平均随访时间9个月,术前日本整形外科学会(JOA)评分平均为(19.08±2.54)分,末次随访时平均(27.05±1.73)分。所有患者术后峡部裂植骨均骨性融合,内固定无松动、脱落。结论椎弓根钉-椎板钩系统是一种节段性内固定治疗腰椎峡部裂的有效方法,简单易行,尤其适用于年轻且无明显椎体滑脱和椎间盘突出的峡部裂患者。Objective To observe the clinical effect of pedicle screw - lamina hook system applied for treatment of lumbar spondylolysis. Methods Thirty seven cases with lumbar spondylolysis were treated with local bone graft and fixation by pedicle screw - lamina hook system. Resuits All patients were followed up for an average of 9 months, the preoperative JOA scores were19.08 ± 2.54 and postoperative scores were 27. 05 ± 1.73. The spondylolysis got fusion in all patients. No looseness of internal fixator or breakage was found. Conclusion The pedicle screw - lamina hook system is a kind of single segment fixation for lumbar spondylolysis, it has been proved being safe and effective, and it is more suitable for spondylolysis in youth with no disc herniation.

关 键 词：腰椎峡部裂 内固定 疗效 

分 类 号：R687.3[医药卫生—骨科学]