TLIF术式治疗双节段腰椎滑脱症的临床研究  

Treatment of double-segment lumbar spondylolisthesis with transforaminal lumbar interbody fusion

作　　者：张爱明[1] 李青[1] 张非[1] 梁道臣[1] 赵成毅[1] 梅治[1] 

机构地区：[1]中山大学中山医院脊柱外科,广东中山528403

出　　处：《岭南现代临床外科》2016年第3期324-326,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨经椎间孔椎间融合术（TLIF术）式治疗双节段腰椎滑脱症的手术疗效。方法采用TLIF后路减压、复位、椎弓根螺钉内固定、椎间植骨融合术治疗双节段腰椎滑脱11例,按Lenke标准评价脊柱融合情况,按Henderson标准评价临床疗效。结果所有病例均获得较大程度的复位,术后随访1~2年,根据Lenke标准评价脊柱植骨融合：A级10例,B级1例;根据Henderson标准评价临床疗效：优9例,良1例,可1例。结论TLIF术式治疗双节段腰椎滑脱症,其脊柱融合满意,疗效显著可靠。Objective To probe the surgical effect of double-segment lumbar spondylolisthesis with transforaminal lumbar interbody fusion（TLIF）. Methods Eleven cases of lumbar spondylolisthesis were treated with decompression of nerve root and dura, reduction of spinal, reconstruction of vertebral canal, pedicle screw fixation and fusion by TLIF. The Lenke grading system was used to assess the spinal fussion. The Henderson grading system was used to assess the clinical effect. Results The reduction of the spondylolisthesis was satisfied in all cases based on a follow-up of 1-2 years.The spinal fusion ： A grade in one cases, B grade in one case. The clinical effect showed excellent in9 cases, good in one case, poor in one case. Conclusion The application of TIIF in the treatment of patients with double-segment lumbar spondylolisthesis can provide successful interbody fusion and clinical results.

关 键 词：腰椎滑脱 脊柱融合 椎弓根系统 经椎间孔椎体间融合 

分 类 号：R681.5[医药卫生—骨科学]