四川医学Issue(4)：448-451,4.DOI:10.16252/j.cnki.issn1004-0501-2015.04.004
腰椎后路内固定术后翻修手术的治疗体会
The Experience of Revision Surgery after Lumbar Spinal Canal Decompression and Internal Fixation
徐双 1王清 1谢胜荣 1卢小刚 1伍成东1
作者信息
- 1. 泸州医学院附属医院脊柱外科，四川 泸州646000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of revision surgery after lumbar spinal canal decompression and internal fixation. Methods To gather and analysis 36 patient underwent revision surgery after lumbar spinal canal decompression and internal fixation from 2009 to 2012 in our hospital,in which there are 20 cases are male and16 cases are female. The age of these cases is from 45 to 68 years old. Different revision surgery was completed according to the patients with symptoms and signs and imaging findings. Results The revision surgery was performed in 36 patients ,include pure internal fixation was removed in 12 cases;pedicle screws and Cage was adjusted in 4 cases;Replace the internal fixation and bone graft fusion in 12 cases;decom-pression and bone graft fusion was performed in 7 cases;internal fixation removed and drainage in 1 case. Postoperative cerebrospi-nal fluid leakage occurred in 4 cases, superficial wound infection in 1 case, deep infection and local fistula formed in 1 case. 34 patients were abtained followed up of an average of 26. 8 months. According to JOA scoring criteria,neurological function score was (12. 0 ± 1. 6)preoperative and(24. 2 ± 2. 3)at final follow up,the amelioration of nerve function was 74%. Conclusion The re-vision surgery is difficult after lumbar spinal canal decompression and internal fixation. If reasonable revision surgery was comple-ted,good clinical effect can obtain. Myelography have important reference value to find the location and extent of nerve damage, which reduce the blindness of revision surgery and maximum benefit for patients.关键词
腰椎/内固定/翻修手术/腰椎管造影Key words
Lumbar/Internal fixation/Revision surgery/Myelography分类
医药卫生引用本文复制引用
徐双,王清,谢胜荣,卢小刚,伍成东..腰椎后路内固定术后翻修手术的治疗体会[J].四川医学,2015,(4):448-451,4.
