中南医学科学杂志2017，Vol.45Issue(3)：226-229,233,5.DOI:10.15972/j.cnki.43-1509/r.2017.03.003
轴向融合联合经皮螺钉治疗轻中度腰5椎体滑脱症的临床观察
Axial lumbar interbody fusion plus percutaneous pedicle screws forthe treatment of mild to moderate lumbosacral spondylolisthesis
摘要
Abstract
Objective To evaluate the clinical outcomes of axial lumbar interbody fusion (AxiaLIF) plus percutaneous pedicle screws and traditional posterior pedicle screws for mild to moderate lumbosacral spondylolisthesis.Methods Among 39 patients with waist 5 vertebral slippage disease of no root symptom,17 cases suffering from lumbosacral spondylolisthesis underwent AxiaLIF plus percutaneous pedicle screws treatments and other 22 cases were treated with traditional posterior pedicle screws,which were reviewed retrospectively (all the cases without root symptoms and Meyerding classification ≤Ⅱ degree).Perioperative index,follow-up imaging indicators and pain assessments were analyzed within and between groups.Results There was significant difference at the time of 1 week postoperatively and final follow-up in both groups compared with preoperatively in Meyerding grade,intervertebral disc height and visual analogue scale score(P<0.05).There was no statistical difference between 1 week postoperatively and final follow-up.The average intraoperative blood loss during AxiaLIF plus percutaneous pedicle screws group was significantly lower than traditional posterior pedicle screws group(P<0.05).No statistical difference was found in average operative time and hospitalization days between the two groups.Conclusions AxiaLIF plus percutaneous pedicle screws compared with the traditional posterior pedicle screws has statistical advantages in less bleeding,less trauma for lumbosacral spondylolisthesis (without root symptoms and Meyerding classification ≤Ⅱ degree).This surgical procedure is an alternative and promising method for mild to moderate spondylolisthesis treatment.关键词
骶前间隙轴向融合/经皮椎弓根螺钉/腰椎滑脱/组合微创Key words
axial lumbar interbody fusion/percutaneous pedicle screw/lumbar spondylolisthesis/combination of minimally invasive分类
医药卫生引用本文复制引用
欧阳智华,阙伊辰,宋西正,王程,晏怡果,王文军..轴向融合联合经皮螺钉治疗轻中度腰5椎体滑脱症的临床观察[J].中南医学科学杂志,2017,45(3):226-229,233,5.基金项目
国家自然科学基金(81272055). （81272055）
