退变性腰椎滑脱后路融合术后的远期随访分析

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1、硕士学位论文Long—-termfollow-—upofdegenerativelumbarspondylolisthesiswithposteriorBackgroundsfusionName：JiangHuanchangSupervisor：Prof．WangJixingABSTRACTSpondy7lolisthesisintheabsenceofaparsdefectwasfirstdescdbedasearlyasin1930byJunghanns．Theterm“degenerativespondylolisthesis"Wascoine

2、dbyNewmanin1955．DegenerativeLumbarSpondy’lolisthesis(DLS)istheslippageofonevertebrarelativetotheadjacentvertebraeduetospinaldegenerativechanges．Themainmanifestationsaremechanicallowbackpain,theradicularpainwithnumbness，paraesthesia,andsensoryormotordeficit，andneurogenicclaudica

3、tion．Itmostlyassociatedwithlumbarspinalstenosis．Ithastraditionallybeenconsideredasoneofthemajorcausesoflowbackandlegpainamongtheelderly．UsuallyexpectanttreatmentWastakentowhomhasgentlyormidrangelowerbackpain，orwhosestring-haltwasminduetoDLS．WhenthesymptomWasseverity，regularexpe

4、ctanttreatmentwasineffectiveorrecurrentattacks，nervedysfunctionwasaggravating，obviouslyaffectdailylifeandwork,urinationanddefecationdisfunctionappeared，itisessentialtooperate．Inrecentdecades，greatprogressWasgotinsurgicaltreatmentofDLS．ItspathologicalchangeWasspinalstenosis，espe

5、ciallyspinalnerverootcanalstenosis，SOthesurgicaldecompressionofthecoreissueistorelievethepainofneurogenicclaudicationandradicularsymptoms．Resetcanrelievespinalstenosis，spinalreconstructionandrestorationofthenormalsequenceofphysiologicalfunction,methods，discusstheprognosticfacto

6、rsforDLStreatedbyposteriorfusioninordertobecomeallinitialclinicalsummaryandprovidareference．Objective1、Toinvestigatethelong—termresultsandcomplicationofposteriorfusioninthetreatmentofDLS．2、T0comparetheclinicalandradiographicresultsofthreedifferentposteriorfusionmethods．3、TOdisc

7、usstheprognosticfactorsforDLStreatedbyposteriorfusion．Methods111eretrospectivestudyanalyzedtheclinicaldataofpatientswhoweretreatedwithposteriorfusionmethodsduetodegenerativelumbarspondylolisthesisinNanfanghospitalfromJanuaryin2001toJulyin2005．Thepatientsweredividedn硕士学位论文intoth

8、reegroupsaccordingtodifferentfusionmethods．GroupA：post