临床骨科杂志2016，Vol.19Issue(6)：664-666,3.DOI:10.3969/j.issn.1008-0287.2016.06.009
脊柱后外侧植骨融合治疗单纯腰椎峡部裂
Posterior lateral bone graft fusion in the treatment of early lumbar spondylolysis
周勇 1周全 1冉学军1
作者信息
- 1. 四川大学华西广安医院 广安市人民医院 骨科，四川 广安 638000
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effect of posterior lateral bone graft fusion in the treatment of lumbar spondylolysis. Methods Sixty-eight patients with lumbar spondylolysis and spondylolisthesis in degreeⅠwere divided into the treatment group (35 cases,underwent posterior lateral bone graft fusion) and the control group (33 cases,underwent intervertebral bone graft fusion). The operation time, blood loss, complications, JOA scores and bone graft fusion were compared between the two groups. Results The operation time and blood loss in the treat-ment group were less than the control group, and the difference between the two groups were statistically significant (P<0. 05). No postoperative complication occurred in the treatment group, while 1 case of cerebrospinal fluid leak-age and 2 cases of stretch injury of nerve root occurred in the control group. And there was significant difference be-tween the two groups (P<0. 05). All the patients were followed up for 12~36 months. The bone graft fusion rate of the treatment group and the control group were 91. 4% and 90. 9% respectively, which showed no statistically signifi-cant difference between groups(P>0. 05). The JOA scores of the treatment group and the control group were 25. 8 ± 1. 5 and 26. 5 ± 1. 7 at final follow-up respectively,which showed no statistically significant difference between groups (P>0. 05). Conclusions The application of posterior lateral bone graft fusion to treat lumbar spondylolysis in early stages may reduce the operation time, blood loss and complications, meanwhile improves the clinical effects.关键词
峡部裂/腰椎滑脱/植骨融合Key words
spondylolysis/lumbar spondylolisthesis/interbody fusion分类
医药卫生引用本文复制引用
周勇,周全,冉学军..脊柱后外侧植骨融合治疗单纯腰椎峡部裂[J].临床骨科杂志,2016,19(6):664-666,3.
