| 椎管减压植骨内固定治疗腰椎管狭窄并腰椎不稳症 |
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| 引用本文： | 沈宁江,林明侠,王先安,林庆彪,陈建,李一波.椎管减压植骨内固定治疗腰椎管狭窄并腰椎不稳症[J].实用骨科杂志,2010,16(1):20-22. |
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| 作者姓名： | 沈宁江 林明侠 王先安 林庆彪 陈建 李一波 |
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| 作者单位： | 海南省人民医院骨病外科,海南,海口,570311 |
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| 摘 要： | 目的 探讨椎管减压植骨内固定治疗腰椎管狭窄并腰椎不稳症的疗效。方法采用保留棘突韧带复合结构的全椎板切除减压、国产通用型脊柱内固定系统固定、椎体间植骨融合加入路侧横突间植骨融合术治疗腰椎管狭窄并腰椎不稳症103例。结果经临床、MRI、X线片检查诊断单节段腰椎管狭窄15例，双节段狭窄53例，三节段29例，四节段6例。术后随访86例，随访时间平均3年3个月，优良率89．5％。结论采用椎管减压、椎弓根系统内固定、植骨融合。可有效维持和重建脊柱的稳定，解除患者症状，是目前治疗腰椎管狭窄并腰椎不稳症的较好治疗方法。
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| 关 键 词： | 腰椎管狭窄 腰椎不稳 椎管减压 植骨融合 内固定 |
Surgical Treatment of Lumbar Spinal Stenosis with Lumbar Spinal Instability Using Decompressive Laminectomy,Fusion and Internal Fixation |
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| Institution: | SHEN Ning jiang,LIN Ming xia,WANG Xian-an,et al (Department of Orthopedics ,The People＇s Hospital of Hainan Province ,Haikou 570311 ,China) |
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| Abstract: | Objective To investigate effects of treating lumbar spinal stenosis with lumbar spinal instability using decompressive laminectomy,grafting bone fusion and pedicle internal fixation.Methods 103 cases with lumbar spinal stenosis with lumbar spinal instability were operated by total laminectomy with retaining spinous process,general spinal system of domestic products(All Fix or GSS-II or UPASS),intervertebral and intertransverse grafting bone fusion.Results These cases were diagnosed by the clinical examinati... |
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| Keywords: | lumbar spinal stenosis lumbar spinal instability decompressive laminectomy fusion internal fixation |
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