融合联合非融合固定治疗腰椎退行性病  

Combined therapy of integration and non-fusion fixation to lumbar degenerative disease

作　　者：孙义忠[1] 刘宝平[1] 何强[1] 范先东[1] 李铁军[1] 王锋宝[1] 

机构地区：[1]解放军251医院,河北张家口075000

出　　处：《实用临床医药杂志》2012年第17期74-76,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨融合联合非融合固定联合治疗腰椎退行性病的临床疗效。方法选取我院2006年5月～2011年12月作者采用融合联合非融合固定治疗腰椎间盘突出症患者42例及腰椎滑脱合并椎间盘突出症30例。术后患者获得平均19(6～50)个月的随访,采用视觉模拟评分法(VAS)及腰椎功能障碍指数(ODI)评定患者手术后的治疗疗效。结果本组患者术后均无感染、神经根损伤、脑脊液漏等并发症发生。VAS及ODI评定结果显示患者术后VAS及ODI分值改善优于术前,手术前后比较差异有统计学意义(P<0.01)。结论融合联合非融合固定治疗腰椎退行性病减压效果明显、固定可靠,有效减缓了相邻椎间盘退变,是治疗腰椎退行性病的一种有效方法。Objective To investigate the clinical efficacy of the combined therapy of integra- tion and non-fusion fixation to lumbar degenerative disease. Methods Forty-two patients who re- ceived integration and non-fusion fixation for the treatment of lumbar disc herniation and another 30 patients who received spondylolisthesis merge adjacent segments intervertebral herniation between May 2006 to December 2011 were in included in the study. After surgery, patients had an average foil;w-up of 19 （6-50） months. Visual analogue scales （VAS） and Oswestry disability index （ODI） were employed to assess postoperative efficacy. Results No postoperative infection, nerve root in- i ury, cerebrospinal fluid leakage and other corr@ications occurred. VAS and ODI evaluation results showed that postoperative changes in VAS and ODI scores were statistically significant （P 〈 0.01 ）. Conclusion Integration and non-fusion fixation for the treatment of lumbar degenerative disease has marked decompression effect with reliable fixation. It can effectively mitigate the adiacent inter- vertebral disc degeneration. Thus it is an effective method in the treatment of lumbar degenerative disease.

关 键 词：腰椎 椎间盘突出症 腰椎滑脱症 融合固定 非融合固定 

分 类 号：R681.5[医药卫生—骨科学]