中国组织工程研究2017，Vol.21Issue(23)：3688-3693,6.DOI:10.3969/j.issn.2095-4344.2017.23.014
椎弓根螺钉内固定联合腰椎后路椎间融合治疗高龄退行性腰椎滑脱症
Pedicle screw fixation combined with posterior lumbar interbody fusion for degenerative lumbar spondylolisthesis in the elderly
摘要
Abstract
BACKGROUND:Whether lumbar spondylolisthesis needs to be treated with reduction remains controversial.OBJECTIVE:To investigate the clinical effectiveness of pedicle screw fixation combined with posterior lumbar interbody fusion for degenerative lumbar spondylolisthesis in the patients aged more than 70 years old.METHODS:The clinical data of 30 patients with degenerative spondylolisthesis aged over 70 years old undergoing pedicle screw fixation combined with posterior lumbar interbody fusion were analyzed retrospectively.The Visual Analogue Scale,Oswestry Dysfunction Index and the Japan Orthopedics Association scores were compared and analyzed before and after surgery.RESULTS AND CONCLUSION:(1) Among 30 patients,12 were male and 18 female,the average age was (75.1±6.7) years old,and all were followed up for more than 12 months.(2) The postoperative Visual Analogue Scale,Oswestry Dysfunction Index and the Japan Orthopedics Association scores were significantly improved compared with baseline (P ＜ 0.05).According to the Japan Orthopedics Association scores,3 cases were cured,24 were significantly effective,and 3 effective.(3) Graft fusion was achieved at all patients,the average fusion time was (5.13±0.65) months.(4) The average operation time was (225.6±23.4) minutes,the average intraoperative blood loss was (470±45.5) mL,and the average follow-up time was (25.8±3.5) months.(5) Six patients presented complications (20％),including one case of dural tear,two cases of paralytic intestinal obstruction,and three transient lower extremity nerve symptoms.(6) These results indicate that if the associated disorders are strictly controlled,pedicle screw fixation combined with posterior lumbar interbody fusion can achieve good surgical results in the treatment of degenerative spondylolisthesis in the elderly.关键词
骨科植入物/脊柱植入物/腰椎/退行性/滑脱/高龄/椎间融合分类
医药卫生引用本文复制引用
陈康武,张凯,陈昊,王根林,朱晓宇,钱忠来,杨惠林..椎弓根螺钉内固定联合腰椎后路椎间融合治疗高龄退行性腰椎滑脱症[J].中国组织工程研究,2017,21(23):3688-3693,6.基金项目
江苏省高校自然科学研究面上项目基金(16KJD320004) （16KJD320004）
苏州市“科教兴卫”青年科技项目基金(kjxw2014009)资助 the General Project of the Jiangsu Provincial Natural Science Foundation of the Universities,No.16KJD320004 （kjxw2014009）
the Suzhou Young Science and Technology Project,No.kjxw2014009 （）
