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三种术式治疗腰椎不稳症的临床疗效观察
引用本文:廖海浪,靳安民,杨文彬,周初松. 三种术式治疗腰椎不稳症的临床疗效观察[J]. 创伤外科杂志, 2008, 10(4): 317-320
作者姓名:廖海浪  靳安民  杨文彬  周初松
作者单位:1. 来宾市人民医院骨科,广西,来宾,546100
2. 南方医科大学珠江医院骨科中心,广东,广州,510282
摘    要:
目的 探讨3种术式治疗腰椎不稳症的疗效.方法 对86例腰椎不稳症分3组,用3种手术方式治疗,对治疗结果进行回顾性统计分析.结果 86例术后随访8~48个月,平均26个月.根据影像学检查,3组植骨融合率分别为78%、92.5%、95.5%.术后优良率分别为:1年82.5%,84.2%,85.5%;2年79.5%,84%,85.2%;3年75.8%,83.6%,85%.结论 单纯后路植骨远期疗效不如联合椎弓根螺钉内固定加椎间融合;应根据腰椎退变及硬膜囊神经根受压的程度选择合适的融合术式.

关 键 词:腰椎不稳症  螺钉  内固定  脊柱融合术  术式治疗  腰椎不稳症  临床疗效观察  instability  lumber  treatment  different  椎间融合  选择  程度  受压  神经根  硬膜囊  腰椎退变  椎弓根螺钉内固定  远期疗效  后路植骨  良率  术后随访  融合率

Comparison of three different kinds of treatment for lumber instability
LIANG Hai-lang,JIN An-min,YANG Wen-bin,et al.. Comparison of three different kinds of treatment for lumber instability[J]. Journal of Traumatic Surgery, 2008, 10(4): 317-320
Authors:LIANG Hai-lang  JIN An-min  YANG Wen-bin  et al.
Affiliation:LIANG Hai-lang,JIN An-min,YANG Wen-bin,et al.(Department of Orthopedics,People's Hospital of Laibin,Laibin 546100,China)
Abstract:
Objective To compare different kinds of treatment for lumber instability.Methods Eighty-six patients with lumber instability were divided into three groups and treated with three different kinds of treatment.The therapeutic results were retrospectively analyzed.Results The follow-up period ranged from 8 to 48 months(mean 26 months).The radiographic fusion rate of the three groups was 78%,92.5%,95.5% respectively.The excellent and good result rate was 82.5%,84.2%,85.5% respectively in 1 year's follow-up,79.5...
Keywords:lumber instability  screw  internal fixation  spinal fusion  
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