椎弓根钉系统固定加椎间单纯植骨融合治疗腰椎滑脱症的临床应用价值  

THE CLINICAL VALUE OF PEDICLE SCREW FIXATION AND INTERBODY BONE GRAFT FUSION FOR LUMBAR SPONDYLOLISTHESIS

作　　者：伍泽鑫 邓仁椿 罗敏[1] 黄上儿 

机构地区：[1]惠州市中医院,广东惠州516001

出　　处：《现代医院》2015年第4期29-32,共4页Modern Hospitals

摘　　要：目的探讨椎弓根钉系统固定加椎间单纯植骨融合在腰椎滑脱症中的临床应用价值。方法对我院2010年11月~2013年11月手术治疗的腰椎滑脱患者41例进行回顾性分析,根据植骨融合方式的不同分为观察组和对照组。观察组18例采用椎间单纯植骨融合,对照组23例椎间采用Cage融合器植骨融合,比较两组患者的术中情况及术后JOA评分优良率、植骨融合率及Tailard滑脱率。结果术中观察组的手术时间和出血量分别为（182.3±21.7）min、（596.8±23.6）ml,明显低于对照组的（226.8±13.4）min、（824.1±36.9）ml,且差异有统计学意义（p〈0.05）;而两组患者间的住院天数比较却无统计学意义（p〉0.05）。术后观察组的JOA评分优良率、植骨融合率及Tailard滑脱率三个指标与对照组比较,差异无统计学意义（p〉0.05）。结论在椎弓根系统固定的基础上,椎间单纯植骨融合在治疗腰椎滑脱上的治疗效果与融合器相近,且具有植骨量大、创伤较小、费用较少等优点,具有一定的临床应用价值。但本组的随访时间有限,两者的长期临床效果仍需进一步研究。Objective To investigate the fixation and intervertebral simple bone graft fusion in lumbar spondylolisthesis the value of clinical application of pedicle screw system. Methods 41 lumbar spondylolisthesis patients in our hospital from November 2010 to November 2013 operation treated patients were retrospectively analyzed,according to the bone graft fusion,and they were divided into observation group and control group. The observation group of 18 cases with lumbar simple bone graft fusion and 23 cases in the control group using Cage fusion of intervertebral bone grafting fusion were compared with intraoperative and postoperative JOA score,including the excellent and good rate,the fusion rate of bone graft and Tailard spondylolisthesis. Results Operation time of the observation group and the amount of bleeding was 182. 3 ± 21. 7 min,and 596. 8 ± 23. 6 ml respectively,which was significantly lower than the control group（ 226. 8 ± 13. 4 min,824. 1 ± 36. 9 ml）,and the difference was statistically significant（ p〈0. 05）; The length of hospital stay of two groups had no statistical significance（ p〈0. 05）. There were no significant difference（ p〈0. 05） in postoperative JOA score in the excellent and good rate of bone graft fusion rate and Tailard slip rate,compared with the control group. Conclusion Based on the fixed pedicle screw fixation,the treatment effect of intervertebral bone graft fusion in the treatment of simple lumbar spondylolisthesis was similar with the fusion,and has less trauma,bone graft,less cost,and has certain clinical application value. because of the follow-up time limitedly,the long- term clinicaleffect both still needs further study.

关 键 词：单纯植骨融合 腰椎滑脱症 椎弓根钉系统 

分 类 号：R681.5[医药卫生—骨科学]