单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留治疗腰椎退变性疾病的临床疗效-论文.pdf

《单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留治疗腰椎退变性疾病的临床疗效-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、第35卷第9期河北医科大学学报Vo1．35No．92014年9月JOURNALOFHEBEIMEDICALUNIVERSITYSept．2014·1015··论著·单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留治疗腰椎退变性疾病的临床疗效聂志红，孔凡磊，赵素香，侯英诺，付秀信，纪江锋(河北省邢台市人民医院脊柱骨科，河北邢台054031)【摘要】目的观察单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留治疗腰椎退变性疾病的临床疗效。方法对45例退变性腰椎间盘突出、椎管狭窄、下腰椎失稳患者采用单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留手术治疗，采用Et本骨科协会(Japane

2、seOrthopedicAssociation，JOA)评分对手术疗效进行评估。通过影像学评价椎板关节突螺钉位置，并观察术后和末次随访时内固定位置、融合情况以及病变节段椎间隙高度情况。结果本组患者术后症状明显缓解，JOA评分较术前有显著改善，影像评价椎板关节突螺钉位置良好，未发现内固定松动和断裂，椎间融合率100％。结论单侧椎弓根螺钉对侧关节突螺钉固定黄韧带保留治疗腰椎退变性疾病手术创伤小，术后融合率高，有效预防了手术后神经粘连，疗效肯定。【关键词】椎间盘退行性变；椎弓根螺钉；黄韧带doi：10．3969／j．issn．1007-3205．2014．09．00

3、8【中图分类号】R681．3；R687．3【文献标志码】A【文章编号】1007—3205(2014)09—1015-03CLINICALEFFECTOFUNILATERALLUMBARPEDlCLESCREWANDTRANSLAMINAFACETSCREWFⅨATIoNWITHLIGAMENTUMFLAVUMPRESERVATIoNINLUMBARDEGENERATIoNDISEASESNIEZhihong，KONGFanlei，ZHAOSuxiang，HOUYingnuo，FUXiuxin，J1Jiangfeng(DepartmentofOrthopeadi

4、cSurgery，XingtaiPeoplesHospital，HebeiProvince，Xingtai054031，China)ABSTRACT：0bjectiveToexploretheclinicaleffectofunilaterallumbarpediclescrewandtranslaminafacetscrewfixationwithligamentumflavumpreservationintreatmentoflumbardegenerationdisease．MethodsForty-fivepatientswhosufferedfrom

5、lumbardegenerationdiseasesweretratedwithunilaterallumbarpediclescrewcombinedandtranslaminafacetscrewfixationwithligamentumflavumpreservation．JapaneseOrthopedicAssociation(JOA)scorewasadoptedtoevaluatepostoperativeeffect．Translaminafacetscrewpositionwasexaminedwithradiographicimaging

6、，andloosenessandshiftofinternalfixationaftersurgerywerealsoevaluated．Theintervertebralspaceheightofpreoperativeandpostoperativecheckwascompared．ResultsThegroupofpatientsimprovedobviouslyinpostoperativeneurologicalfunctionwithhigherJOAscores．Thepositionoftranslaminafacetscrewwasgood．

7、Therewerenoloosenessandshift，theintervertebralfusionratewas100％．ConclusionTheunilaterallumbarpediclescrewandtranslaminafacetscrewfixationwithligamentumflavumpreservationhasadvantagesofminimallinvasion，highfusionrate．Thissurgerymethodeficientlypreventsneuraladhesion，andshowsgoodefect

8、s．KEYWORDS：interver