首页 | 本学科首页   官方微博 | 高级检索  
检索        

邻近节段退变对腰椎融合预后的影响
引用本文:邱俊骏,徐杰,王黎明.邻近节段退变对腰椎融合预后的影响[J].实用骨科杂志,2010,16(2):81-83.
作者姓名:邱俊骏  徐杰  王黎明
作者单位:南京医科大学附属南京第一医院骨科,江苏,南京,210006
摘    要:目的研究邻近节段退变对腰椎融合术预后的影响。方法从2005年1月至2007年12月,108例患者行腰椎融合术,并至少随访18个月。患者分为三组:A组融合1个节段,B组融合2个节段,C组融合3个以上节段。依据美国加州大学洛杉矶分校分级量表评估术前、术后及最终影像学上的退变。应用Spearman相关分析研究邻近节段退变与临床预后的相关性。结果三组邻近节段退变的发生率分别为:A组12.5%(7/56),B组16.1%(5/31),C组14.3%(3/21)。其中退变程度为Ⅱ度以上的发生率分别为:A组0(0/7),B组80%(4/5),C组66.6%(2/3)。3个组的临床预后变化分别为:A组0级4例,1级3例;B组1级1例,2级3例,3级1例;c组1级1例,2级2例。分析证明邻近节段退变的程度越重,预后越差(P〈o.05)。结论邻近节段退变对腰椎融合术预后有明显影响,特别是多节段融合的患者。

关 键 词:邻近节段退变  临床预后  腰椎融合术

The Impact of Adjacent Segment Degeneration on the Clinical Outcome after Lumbar Spinal Fusion
QIU Jun-jun,XU Jie,WANG Li-ming.The Impact of Adjacent Segment Degeneration on the Clinical Outcome after Lumbar Spinal Fusion[J].Journal of Practical Orthopedics,2010,16(2):81-83.
Authors:QIU Jun-jun  XU Jie  WANG Li-ming
Institution:QIU Jun-jun,XU Jie,WANG Li-ming(Department of Orthopaedics,Nanjing 1st Hospital,Nanjing 210006,China)
Abstract:Objective To determine the impact of the adjacent segment degeneration on the clinical outcome after lumbar fusion.Methods 108 patients who underwent lumbar fusion and have more than 18 months of follow-up were evaluated.The patients were divided into 3 groups:fusion was carried out on 1(A),2(B),and more than 3 segments(C).UCLA grading scale was used to evaluate the ASD on radiograph.Results The more the change of the degenerative grade is severe,the more the clinical outcome is worse(P<0.05).Conclusion The...
Keywords:adjacent segmental degeneration  clinical outcome  lumbar fusion  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号