腰椎后路椎弓根钉内固定配合自体颗粒骨椎间打压植骨术治疗退行性腰椎病变  

Analysis of cure effects on posterior pedicle screw fixation combined with intervertebral impaction autogenous morselized bone grafting in the treatment of degenerative lumbar disease

作　　者：黄凯[1] 刘展亮[1] 陈嘉裕[1] 郭建邦[1] 丘靖[1] 李晓彬[1] 杨志发[1] 杨永迁[1] 

机构地区：[1]中山大学附属梅州医院骨外一科,广东梅州514031

出　　处：《岭南现代临床外科》2012年第4期366-368,共3页Lingnan Modern Clinics in Surgery

基　　金：广东省梅州市科技计划项目(2010B45)

摘　　要：目的探讨腰椎后路椎弓根钉内固定配合自体颗粒骨椎间打压植骨术治疗退行性腰椎病变的临床疗效。方法对54例退行性腰椎病变患者采用腰椎后路椎弓根钉内固定配合自体颗粒骨椎间打压植骨术治疗,通过随访进行疗效评定。结果 54例随访6～30个月,平均14个月。术后所有患者植骨处均骨性愈合,复位无丢失,无内固定松动、断裂。临床疗效综合评价:优32例,良13例,可7例,差2例,优良率83.3%。结论腰椎后路椎弓根钉内固定配合自体颗粒骨椎间打压植骨术是治疗退行性腰椎病变的有效方法。Objective To investigate the curative effect of posterior lumbar interbody fusion autogenous morselized bone graft impaction for senile lumbar degeneration. Methods A retrospective study was performed for 54 cases of senile lumbar degeneration and all cases were undergone posterior lumbar interbody fusion autogenous morselized bone graft impaction. The efficacy was evaluated through the follow-up. Results All of 54 cases were followed up of 6 to 30 months, an average of 14 months. All cases with lumbar interbody fusion had good bone graft fusion, normal disc space and no loss of spondylolisthesis reduction. During the follow-up, the total success rate was 89.72%. Conclusion It is an effective way for posterior lumbar interbody fusion autogenous morselized bone graft impaction to cure senile lumbar degeneration.

关 键 词：打压植骨 腰椎后路椎体间融合 退行性腰椎病变 

分 类 号：R681.5[医药卫生—骨科学]