椎弓根螺钉内固定并椎间cage融合治疗腰椎滑脱症

椎弓根螺钉内固定并椎间cage融合治疗腰椎滑脱症

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页数:31页

时间:2019-02-19

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1、华中科技大学硕士学位论文methodimplantedpediclescrews,Carmperspective,usingscrewandbarsystemresetVertebralspondylolisthesis.④ChooseonesideofhavinetheneurologicalsymptomsortwosidetoDecompression,Fullyreleasenerveroot,resectionofthedisc.⑤Inthecagegroupbyusingcutter

2、toremoveResidualdiscandcartilage,thepatientswithasinglelineDecompression,asinglecageimplantedintointervertebralspace;PatientswithbilateraldecompressionwiththesamemethodinasymmetricalpositionimplantedtheCage.⑥InthebonegraftgroupbyusingScrapespoontorem

3、oveResidualdiscandcartilageandthenUsingautogenousboneimplantedintointervertebralspaceandcompactionbonegrain.⑦Placeddrainage,sutureincision.10.Postoperativetreatment:Postoperative48huprootthetube,AweekaftertheshootingX-rayfilm,ThenGetupwithwaistlineaf

4、terBedrest6-8weeks.Regularreview,observetheboneandspinalfusionofstability.11.Follow-up:Perioperatieobservationincision,operationtime,peri-operativebleedingandlengthofhospitalizationtimeetc.Every3monthsafteroperationx-rayfilmsweretakentoobservetheinte

5、rvertebralspaceheight,lumbarolistherateandsegmentallordosisAngle,lumbarlordosisAngle,fusionrateofoperationsegmen.MakeevaluationofclinicalcurativeeffectaccordingJOAcomparisonbetweenPreoperativeandpostoperative12months.Results:1.Thecriteriaforpatientsw

6、ith82cases,includingcagebetweenvertebralbonefusiongroup42cases,simplebonefusiongroup40cases.2.Perioperatieobservation:Thetwogroupshadsex,age,weight,operationtime,peri-operativebleedingwerenosignificantdifferences(P﹥0.05).3.X-rayfilmobservation:Inther

7、ecoveryofrelativelyhighandsegmentallordosisAngle,lumbarlordosis,reducelumbarolistherate,increaseoffusionrateetc,cagebonefusiongroupwashigherthanthesimplebonefusiongroup4.Nervefunctionevaluation(LowbackpainJOAscore):Thetwogroupsof5华中科技大学硕士学位论文postoper

8、ativejoascoringareallobviouslyimproved,Fromneurologicalrecovery,short-termcurativeeffectoftwogroupshadnosignificantdifferences(P>0.05),Butwiththeextensionoftime,thepostoperativefollow-up24months,Cagegroup’sJOAscoreweresignificantlysuperiortothescoreo

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