中国骨伤2011，Vol.24Issue(1)：14-17,4.DOI:10.3969/j.issn.1003-0034.2011.01.004
脊柱融合术治疗退变性腰椎滑脱症的疗效分析
Analysis of clinical effect of spinal fusion in treating degenerative lumbar spondylolisthesis
戎露江 1罗建民 1赵立来 1朱求亮 1许斌 1王元龙1
作者信息
摘要
Abstract
Objective: To analyze the clinical effect of spinal fusion in treating degenerative lumbar spondylolisthesis of Meydrding Ⅰ - Ⅱ degree.Methods: From February 2002 to March 2008,36 patients with degenerative lumbar spondylolisthesis of Meydrding Ⅰ - Ⅱ degree were treated with surgery ,of which data were analyzed retrospectively.There were 26 males and 10 females,ranging in age from 40 to 69 years with an average of 59.05 years.Among them, 16 cases were operated by laminectomy with situ posterolateral fusion and internal fixation (group A ) and 20 cases by laminectomy with interbody fusion and internal fixation (group B ).The operative time, volume of blood loss were compared between two groups and the clinical effects were analyzed according to standards of Nakai.Results:The operative time in group A and B group was (101.75 ±10.22 ), ( 110.85±9.63 ) min and volume of blood loss was ( 510.62±71.78 ), (574.50±82.30) ml, respectively.There was statistical difference between two groups (P＜0.05).All patients were followed up more than 2 years.In group A, 8 case obtained excellent resus,6 good,2 fair; in group B, 12 obtained excellent result,5 good,3 fair.There was no significant difference between two groups (P＞0.05).Conclusion: Laminectony and spinal fixation in situ posterolateral fusion and interbody fusion both can obtain satisfactory result in treating degenerative lumbar spondylolisthesis of Meydrding Ⅰ - Ⅱ degree,but by posterolateral fusion and internal fixation has less volume of blood loss and short operative time.关键词
脊柱滑脱/脊柱融合术/病例对照研究/回顾性研究引用本文复制引用
戎露江,罗建民,赵立来,朱求亮,许斌,王元龙..脊柱融合术治疗退变性腰椎滑脱症的疗效分析[J].中国骨伤,2011,24(1):14-17,4.
