360°腰椎融合与后外侧融合治疗腰椎退行性疾病的疗效比较  

Clinical comparative study of 360° lumbar fusion versus posterolateral fusion for lumbar degenerative disease

作　　者：孟增东[1] 雷云坤[1] 胡彪[1] 赵毅[1] 赵晓芳[1] 刘伟[1] 

机构地区：[1]云南省第一人民医院骨科,昆明医学院附属昆华医院骨科,昆明650032

出　　处：《中国矫形外科杂志》2012年第1期14-17,共4页Orthopedic Journal of China

摘　　要：[目的]分析360°腰椎融合与后外侧融合在治疗腰椎退行性疾病中的疗效。[方法]将2008年后在本科进行手术治疗的45例腰椎退行性疾病患者按融合方法不同分为360°腰椎融合组及后外侧融合组,回顾分析并比较两种融合方法在患者功能恢复、脊椎融合率、并发症的发生率及腰椎生理前凸保持方面的不同,评价两种融合方法的疗效差异。[结果]与术前相比,两组患者在生活质量及腰腿痛方面均有明显的改善,360°腰椎融合组患者改善更为明显。与后外侧融合组患者相比,360°腰椎融合组患者的腰椎生理前凸得到更好的保持,同时,腰椎融合率更高。[结论]360°腰椎融合与后外侧融合相比,能更好的保持腰椎生理前凸,获得更高的融合率,减少并发症的发生,同时能使患者得到更好的功能恢复。[ Objective] To compare the clinical results of 360° lumbar fusion and posterolateral fusion for lumbar degener- ative disease. [ Methods] This study was based on forty -five lumbar degenerative disease patients who underwent 360° lumbar fusion or the posterolateral fusion since 2008. Twenty-one patients were divided into 360° lumbar fusion group and twenty - four into posterolateral fusion group. The efficacy of the two fusion methods was evaluated on functional recovery, spinal fusion rate, complication rate, and the maintenance of the lumbar lordosis. [ Results ] Conditions of patients in both groups significantly improved in low - back pain, quality of life, spinal fusion rate and maintenance of the lumbar lordosis. The 360° lumbar fusion patients had better improvement. [Conclusion] Compared with posterolateral fusion, 360° lumbar fusion patients can achieve better maintenance of the lumbar lordosis, a higher fusion rate, fewer complications, and better functional recovery.

关 键 词：360°腰椎融合 后外侧腰椎融合 腰椎退行性疾病 

分 类 号：R687.3[医药卫生—骨科学]