单钉-沟槽柱翼钢板联合WDFC治疗腰椎滑脱症-临床医学论文作者:张卫朱正兵谭远超刘峻邵诗泽张恩忠罗永忠【关键词】腰椎滑脱摘要:,目的,研究和评价单钉-沟槽柱翼钢板联合WDFC后路椎间融合在治疗腰椎滑脱的效应。,方法,对62例腰椎峡部裂并腰椎滑脱的患者施行单钉-沟槽柱翼钢板联合WDFC后路椎间融合术,观察患者术前术后和随诊期间Tailard指数、Boxall指数、滑脱角、腰椎生理前凸角、椎间隙高度指数的变化,同时观察神经症状、体征、临床疗效及融合率。,结果,本组62例平均随访243个月(17,35个月),术后与术前Tailard指数、Boxall指数、滑脱角、腰椎生理前凸角、椎间隙高度指数有显著差异性(P,001),术后与随访无显著性差异(P,005),优良率935,,改善率968,,融合率100,。,结论,单钉-沟槽柱翼钢板联合WDFC后路椎间融合术具有复位良好,内固定可靠,保持椎间隙生理高度和节段稳定、融合率高等优点。关键词:腰椎滑脱;外科治疗;椎间融合Treatmentoflumbarspondylisthesiswithsinglenail&binedwithWendengfusioncageAbstract:,Objective,binedwithWendengfusioncageinthetreatmentoflumbarspondylisthesis,Method,paredasfollowing:Tailardindex,Boxallindex,thespondylisthesisangle,anteriorprocessangle,hEightofintervetebralspaceThenerosymdrom,physicalsign,clinicaleffectandfusionratewerealsoobserved,Result,Allcaseswerefollowedupforanaverageof243months(ranged,17~35months)Tailardindex,Boxallindex,spondylisthesisangle,anteriorprocessangle,andhEIghtofintervetebralspaceshowedsignificantdifferencebetweenpreandpostoperativelyThesatisfactoryratewas935%,theimprovingratewas968%,andthefusionratewas100%,Conclusion,Singlenail&binedwithWendengfusioncagehasadvantagesofgoodreduction,strongfixation,firmintervertebralheight,andhighfusionrateItisasatisfactorymethodtotreatlumbarspondylisthesisKeywords:lumbarspondylisthesis;Surgicaltreatment;Intervertebralfusion本院自2001年2月采用单钉-沟槽柱翼钢板联合WDFC(Wendengfusioncage)(图1、2)治疗椎弓峡部裂并腰椎滑脱症
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