纹式终板处理自体骨植骨融合治疗峡部裂型腰椎滑脱
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摘要
目的探讨采用纹式终板处理自体骨植骨融合治疗峡部裂型腰椎滑脱的临床疗效。方法采用纹式终板处理自体骨植骨融合治疗34例峡部裂型腰椎滑脱患者,记录手术时间及术中出血量,应用JOA评分评估手术效果,测量术后及末次随访时的椎间隙高度,评估骨融合情况。结果手术时间120～250(173. 33±35. 96) min,术中出血量100～600(378. 57±157. 77) ml。患者均获得随访,时间7～20(14. 71±3. 59)个月。随访期间X线及CT检查评估显示,所有患者未出现内固定松动、断裂或椎体再滑脱。JOA评分:术前为6～20(13. 27±2. 96)分,术后为16～24(21. 42±1. 67)分,末次随访为18～25(23. 69±1. 31)分,术后较术前、末次随访较术后均明显改善(P <0. 05);滑脱复位率:术后为80. 13%,末次随访时为77. 90%。结论纹式终板处理自体骨植骨融合手术治疗峡部裂型腰椎滑脱症疗效确切,骨融合率高。
Objective To investigate the pattern of striating end plate and fusion of autogenous bone graft for the treatment of isthmic spondylolisthesis. Methods The 34 cases of isthmic spondylolisthesis were treated with striating end plate and fusion of autogenous bone graft,the operation time and bleeding volume were recorded,the effect of the operation was evaluated by JOA score,the height of intervertebral space at postoperation and final follow-up were measured,the result of bone fusion was evaluated. Results The operative time was 120 ～ 250( 173. 33 ± 35. 96)min,and the intraoperative blood loss was 100 ～ 600( 378. 57 ± 157. 77) ml. All patients were followed up for 7 ～ 20( 14. 71 ± 3. 59) months. X-ray and CT examinations during the follow-up period showed no loosening,rupture or spondylolisthesis of the internal fixation in all patients. JOA scores: the preoperative were 6 ～ 20( 13. 27 ± 2. 96)points,the postoperative were 16 ～ 24( 21. 42 ± 1. 67) points,the last follow-up 18 ～ 25( 23. 69 ± 1. 31) points,the JOA scores improved significantly after operation and last follow-up( P < 0. 05). The reduction rate of spondylolisthesis was 80. 13% after operation,77. 90% at the last follow-up. Conclusions Striating end plate and fusion of autogenous bone graft is an effective and high bone fusion rate method for the treatment of isthmic spondylolisthesis.
Objective To investigate the pattern of striating end plate and fusion of autogenous bone graft for the treatment of isthmic spondylolisthesis. Methods The 34 cases of isthmic spondylolisthesis were treated with striating end plate and fusion of autogenous bone graft,the operation time and bleeding volume were recorded,the effect of the operation was evaluated by JOA score,the height of intervertebral space at postoperation and final follow-up were measured,the result of bone fusion was evaluated. Results The operative time was 120 ～ 250( 173. 33 ± 35. 96)min,and the intraoperative blood loss was 100 ～ 600( 378. 57 ± 157. 77) ml. All patients were followed up for 7 ～ 20( 14. 71 ± 3. 59) months. X-ray and CT examinations during the follow-up period showed no loosening,rupture or spondylolisthesis of the internal fixation in all patients. JOA scores: the preoperative were 6 ～ 20( 13. 27 ± 2. 96)points,the postoperative were 16 ～ 24( 21. 42 ± 1. 67) points,the last follow-up 18 ～ 25( 23. 69 ± 1. 31) points,the JOA scores improved significantly after operation and last follow-up( P < 0. 05). The reduction rate of spondylolisthesis was 80. 13% after operation,77. 90% at the last follow-up. Conclusions Striating end plate and fusion of autogenous bone graft is an effective and high bone fusion rate method for the treatment of isthmic spondylolisthesis.
引文
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