组织工程与重建外科杂志2012，Vol.8Issue(2)：99-102,4.DOI:10.3969/j.issn.1673-0364.2012.02.011
不同植骨融合术治疗腰椎滑脱症的疗效分析
A Comparative Study of Bone Fusion for Lumbar Spondylolisthesis by Three Methods
钟华 1刘建纯 1夏威 1苏罡1
作者信息
- 1. 413000 湖南省益阳市 益阳市中心医院骨科
- 折叠
摘要
Abstract
Objective To compare the therapeutic effect of posterolateral lumbar fusion (PLF), posterior lumbar interbody fusion (PUF) and trans-foraminal lumbar interbody fusion (TLIF) for lumbar spondylolisthesis. Methods According to three different fusion methods, 120 patients with lumbar spondylolisthesis were divided into 3 groups: group A (PLF, ra=36); group B (PUF, n=42) and group C (TLIF, n=40). After the pedicle screws-rod internal fixation, all the patients were operated by different fusion methods. Clinical outcome and fusion rates of the three groups were reviewed and compared. Results Operation time and blood loss in group C were much lower than group A and B (P<0.05), but bone fusion rate in C group was much higher than group A and B (P<0.05). The good rate of group A, B and C were 77.8%, 83.3% and 95.0% respectivly, but there was no statistically significant difference among the three groups (P>.05). Conclusion Pedicle screws-rod internal fixation is a better way to raise bone fusion rate and reduce complications. TLIF with shorter operation time, lower blood loss, larger fusion area and higher bone fusion rate, is a good method for the treatment of spondylolisthesis.关键词
腰椎滑脱症/内固定系统/腰椎后外侧融合术/后路椎间植骨融合术/经椎间孔椎间植骨融合术Key words
Lumbar spondylolisthesis/ Internal fixation/ Posterolateral lumbar fusion (PLF)/ Posterior lumbar interbody fusion (PUF)/ Trans-foraminal lumbar interbody fusion (TLIF)分类
医药卫生引用本文复制引用
钟华,刘建纯,夏威,苏罡..不同植骨融合术治疗腰椎滑脱症的疗效分析[J].组织工程与重建外科杂志,2012,8(2):99-102,4.
