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椎弓根内固定并后外侧融合治疗老年腰椎管狭窄症
引用本文:俞武良,陆建猛,欧阳甲,韦勇力,方明. 椎弓根内固定并后外侧融合治疗老年腰椎管狭窄症[J]. 临床骨科杂志, 2010, 13(1): 17-18
作者姓名:俞武良  陆建猛  欧阳甲  韦勇力  方明
作者单位:宁波大学医学院附属医院脊柱外科,浙江,宁波,315020
摘    要:
目的探讨椎弓根螺钉内固定并后外侧融合治疗老年腰椎管狭窄症的临床疗效。方法对98例经非手术治疗无效的老年(〉60岁)腰椎管狭窄症患者行全椎板切除减压,植入椎弓根螺钉,并行后外侧融合。结果98例均获得随访,时间15~60个月。根据Nakai标准:优72例,良21例,可5例。结论老年腰椎管狭窄常伴有不稳及关节突增生内聚,在充分减压的基础上,行椎弓根钉内固定并后外侧融合,疗效满意。

关 键 词:老年人  腰椎管狭窄  椎弓根钉系统  脊柱融合术

Treatment of the elderly lumbar spinal stenosis with pedicle screw fixation and posterolateral fusion
YU Wu-liang,LU Jian-meng,OUYANG Jia,WEI Yong-li,FANG Ming. Treatment of the elderly lumbar spinal stenosis with pedicle screw fixation and posterolateral fusion[J]. Journal of Clinical Orthopaedics, 2010, 13(1): 17-18
Authors:YU Wu-liang  LU Jian-meng  OUYANG Jia  WEI Yong-li  FANG Ming
Affiliation:Dept of Spinal Surgery/a>;Affiliated Hospital of Medical College/a>;Ningbo University/a>;Ningbo/a>;Zhejiang 315020/a>;China
Abstract:
Objective To evaluate the clinical effect of the pedicle screw fixation and posterolateral fusion in the treatment of the elderly lumbar spinal stenosis.Methods 98 elderly(age > 60 years)patients with lumbar spinal stenosis were underwent laminectomy,implantation with the pedicle screw fixation systems and posterolateral fusion.Results All patients were followed up ranged from 15 to 60 months.According to the Nakai scale,the outcomes were excellent in 72 cases,good in 21 cases,and fair in 5 cases.Conclusion...
Keywords:aged  lumbar spinal stenosis  pedicle screw fixation systems  spinal fusion  
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