内固定术棘突间h型植骨治疗腰椎滑脱症疗效分析

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1、TheanalyseofcurativeeffectaboutthetreatmentforntervertebraIfusionandHtypebonegra{tingtoLumbarspondyIoIisthesiSAbstractSpeciaIity：departmentoforthopaediGofTOMAuthor：SHENYou—biTutor：WANGZhao—peiBackgroundLumbarSpondylosthesis(LS)istheforwardorbackwardslippageofupperlumba

2、rvertebrae．Theprincipleofsurgicaltreatmentforlumbarspondylolisthesisisdecompression、reductionandbonegraftfusion．Fusionisthefinaldestination．AfterthesurgeryofdecompressionforsomepatientSofLS，alargequantityofscartissueisoccurredinthecolobomaofthevertebrallamina．Thescarti

3、ssueconglutinatesthenerverootandsclerosingliipogranuloma，compressthenerve．Symptomsrecurandlong—timeeffectislimited．HowtopreventorreducethesymptomiSthetopicforanswerinthespinalsurgeryfield．Thestudyisprimarilydiscussingtheeffectoffusionrateandpreventscarinspinalcanalfort

4、hepatientsreceivedthetechniqueofsDinalinternalfixationsystemandintervertebralfusionand“H”typebonegraftingtoLumbarspondylolisthesis．DatasupportiSattainedforsurgeryinclinicalpractice．Methodclinicaldataofthepatients(50cases)inorthopedicdepartment4from2001to2005．whohaverec

5、eivedHtypebonegraftwithLS，wasretrOSpectiveanalyzedandfollowedup．ThetestsofX-rayandMRlwasrecheckedforthedegreeofspinalcanalscarandbonegraftfusion．Thecurativeeffectofpostoperationwasalsorecordedandanalyzed．ResultAllcaseswerefollowedupfrom8to36monthswithanaverageof18month

6、s．Taillardindexwas0．31inpreoparation，0．16inpostoperation，0．17inthefollowingup．Boxallindexwas0．33preoparation，0．17postoperation，and0．17thefollowingup．LumbarlordosiSangleWaS13．20。，inpreoperation，18．20。inpostoperation．and18．10。inthefollowingup．Intervertebralheightindexwas

7、0．27preoperation．0．58postoperation．and0．56thefollowingup．Thereweregreatchanges’[aillardindex，Boxallindex，intervertebralheightindexandlumbarlordosiSanglepreoperativelYcomparedWiththosepostoperativelyP

8、gup．A1lspondylolistheticsegmentswerefusedaccordingtoSuksmethod．Nocomplicationssuchasnailorrodbreakageorscrewloosening