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| 侧后方斜向植入单枚BAK的腰椎椎体间融合术:临床初步报告 | |
| 引用本文： | 赵杰,侯铁胜,张春才,海涌,邹德威,Hansen Yuan,Ordway Nat. 侧后方斜向植入单枚BAK的腰椎椎体间融合术:临床初步报告[J]. 第二军医大学学报, 2000, 21(1): 77-80 |
| 作者姓名： | 赵杰 侯铁胜 张春才 海涌 邹德威 Hansen Yuan Ordway Nat |
| 作者单位： | 1. 第二军医大学长海医院骨科,上海,200003 2. 解放军第514医院 3. 美国纽约州立大学 |
| 基金项目： | 上海市科委学科带头人!基金资助项目（97XD14015） |
| 摘 要： | 目的：设计侧后方斜向植入单枚多孔螺纹状椎间融合器（ＢＡＫ）行后路腰椎体间融合术的术式,观察该方法治疗２０例下腰痛患者的初步临床疗效。方法：对２０例严重下腰痛（１８例伴下肢神经症状）的患者,采用本研究设计的术式共融合２８例椎间隙（Ｌ４－５间隙１６个,Ｌ５－Ｓ１间隙１２个）,其中４例行２个椎节融合术的患者附加行Ｓｔｅｆｆｅｅ钢板内固定术。结果：本组平均随访１２．５个月,除１例外,皆达到临床融合,均无融 |
| 关 键 词： | 腰椎椎体间融合 椎间融合器 手术入路 BAK |
| 文章编号： | 0258-879X(2000)01-0077-04 |
| 修稿时间： | 1999-09-20 |
Posterior lumbar interbody fusion with single BAK insertion: a primary clinical report |
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| ZHAO Jie,HOU Tie-Sheng,ZHANG Chun-Cai,HAI Yong,ZOU De-Wei,Hansen Yuan,Ordway Nat. Posterior lumbar interbody fusion with single BAK insertion: a primary clinical report[J]. Former Academic Journal of Second Military Medical University, 2000, 21(1): 77-80 | |
| Authors: | ZHAO Jie HOU Tie-Sheng ZHANG Chun-Cai HAI Yong ZOU De-Wei Hansen Yuan Ordway Nat |
| Affiliation: | ZHAO Jie(Department of Orthopedic, Changhai Hospital, Second Militery Medical University, Shanghai200433, China)HOU Tie-Sheng(Department of Orthopedic, Changhai Hospital, Second Militery Medical University, Shanghai200433, China)ZHANG Chun-Cai(Department of Orthopedic, Changhai Hospital, Second Militery Medical University, Shanghai200433, China)HAI Yong(Hospital No.514, PLA)ZOU De-Wei(Hospital No.514, PLA)Hansen Yuan(New York State University, USA)Ordway Nat(New York State University, USA) |
| Abstract: | Objective: To establish posterior lumbar interbody fusion (PLIF) by posterolateral insertion of single threaded cage(BAK) through posterior approach with unilateral facetectomy and evaluate its safety, fusion success rate and clinical outcome. Methods: For a 18 month period, 20 patients with severe low lumbar pain underwent PLIF with single posterolateral BAK insertion, 4 of them with additional instrumentation of Steffee pedicle screw fixation system. All patients were followed up from 6 to 18 months (average 12.5 months). Results: Nineteen achieved clinical fusion. Eighteen of the 20 patients had a 90% or better improvement over the preoperative symptoms. There were 2 patients had an early, substantial foot drop which disappeared within 3 months. Conclusion: PLIF by posterolateral insertion of single BAK by a posterior approach with unilateral facetectomy enables sufficient decompression and solid interbody fusion to be achieved while maintaining a majority of the posterior elements. |
| Keywords: | lumbar interbody fusion posterior threaded cage |
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