临床骨科杂志2013，Vol.16Issue(1)：12-14,3.DOI:10.3969/j.issn.1008-0287.2013.01.005
单侧椎弓根螺钉内固定联合单枚融合器治疗极外侧腰椎间盘突出症
Unilateral pedicle screw fixation combined with single cage interbody fusion for far lateral lumbar disc herniation
王佳 1周耀 1李伟 1杨方1
作者信息
- 1. 奉化市中医院骨科,浙江,奉化,315500
- 折叠
摘要
Abstract
Objective To evaluate the surgical results of treating far lateral lumbar disc herniations by lumbar inter-body fusion with unilateral pedicle screw fixation and single cage. Methods 26 cases of far lateral lumbar disc herniations were received the treatment of lumbar interbody fusion with unilateral pedicle screw fixation and single cage via a posterior approach. X-ray or CT examinations were taken in the regular follow-up to observe the fusion rates and complications, and the outcome of the surgery was assessed by Japanese Orthopaedic Association ( JOA ) low back pain scores. Results There were no wound infection or nerve complications after operation. All patients were followed up for 18 ~27 months. The fusion rate was 96. 2%( 25/26 ). The average JOA scores of preoperation and final followed-up were 12. 43 2. 16 and 24. 53 2. 97 respectively, which showed significant difference ( P <0. 05 ) between the two observations. The mean improvement rate was 81. 6% , and 19 cases got excellent results,5 good and 2 fair. The excellent and good rate was 92. 3%( 24/26 ). Conclusions Lumbar interbody fusion with unilateral pedicle screw fixation combined with single cage can provide simple procedure, little trauma, reliable fixation, high fusion rate, and satisfactory clinical results.关键词
腰椎间盘突出症/脊柱融合术/骨螺钉/内固定Key words
lumbar disk herniation/ spinal fusion/bone screws/ internal fixation
分类
医药卫生引用本文复制引用
王佳,周耀,李伟,杨方..单侧椎弓根螺钉内固定联合单枚融合器治疗极外侧腰椎间盘突出症[J].临床骨科杂志,2013,16(1):12-14,3.
