四川医学2012，Vol.33Issue(5)：784-786,3.
Cage植骨结合椎弓根螺钉系统内固定术治疗腰椎退行性疾病的临床应用
Clinical application of Cage bone-implatation conjugating lag screw system internal fixation of vertebral arch pedicle in treatment of lumbar regressive disease
刘斐文 1张彤 1王喜亚 1李萌 1冯建明 1陈成1
作者信息
- 1. 攀枝花市攀钢职工总医院骨一科,四川攀枝花617023
- 折叠
摘要
Abstract
To evaluate the effects of Cage bone-implatation conjugating lag screw system internal fixation of vertebral arch pedicle in treatment of lumbar regressive disease. Methods 65 cases of lumbar regressive disease were treated by Cage bone-implatation conjugating lag screw system internal fixation of vertebral arch pedicle, and their effects and complications were observed. Results Symptoms of all cases were obviously ameliorated, with 4 patients neural symptoms aggravation and 2 ce-rebrospinal fluid leak as immediate complications, and 3 neural symptoms remaining as long-term neural symptoms. Effect evaluation one week after operation according to Odom Criterion were 43 cases excellent, 15 fine and 7 acceptable, thus excellent and fine ratio was 89.2%. All cases were followed-up for 3 to 24 months, effect evaluaion of the last follow-up according to Odom Criterion were 45 cases excellent, 16 fine and 4 acceptable, thus excellent and fine ratio was 93. 8%. After X-ray examination, all cases achieved osseous fusion of Cage bone-implatation between vertebral bodies, with no rupture of lag screw of vertebral arch pedicle, no Cage retrocession or sinking, and with no obvious loss of intervertebral space height. Conclusion Combination of lag screw of vertebral arch pedicle techniques and Cage bone-implatation fusion can work out complementation of each other's superiorities , reduce complications of each own, magnificantly increase spinal stability, and raise fusion ratio of bone-implatation, thus increase clinical effects and possess higher clinical application value.关键词
脊柱融合术/内固定/脊柱疾病Key words
spinal fusion/ internal fixation/ spinal disease分类
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刘斐文,张彤,王喜亚,李萌,冯建明,陈成..Cage植骨结合椎弓根螺钉系统内固定术治疗腰椎退行性疾病的临床应用[J].四川医学,2012,33(5):784-786,3.
