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非椎间隙狭窄型峡部裂腰椎滑脱症的手术治疗
引用本文:吴成如,张诗虎,孙国荣,史凤之. 非椎间隙狭窄型峡部裂腰椎滑脱症的手术治疗[J]. 颈腰痛杂志, 2014, 0(4): 258-260
作者姓名:吴成如  张诗虎  孙国荣  史凤之
作者单位:吴成如(解放军第105医院骨二科,安徽 合肥,230031);张诗虎(解放军第105医院骨二科,安徽 合肥,230031);孙国荣(解放军第105医院骨二科,安徽 合肥,230031);史凤之(解放军第105医院骨二科,安徽 合肥,230031);
摘    要:目的:探讨非椎间隙狭窄型峡部裂腰椎滑脱的手术治疗。方法对50例非椎间隙狭窄型峡部裂型腰椎滑脱患者采用短节段固定加椎板、横突间后外侧植骨融合的手术方法进行治疗。结果50例患者症状改善优良率达96%,植骨融合率100%。结论短节段内固定加后外侧植骨融合的手术方法具有手术时间短,不暴露椎管,避免对神经根及硬脊膜的误伤,出血少,费用低等优点。是治疗非椎间隙狭窄型峡部裂腰椎滑脱的一种有效方法。

关 键 词:非椎间隙狭窄型  峡部裂  腰椎滑脱  手术治疗

Clinical efficacy of surgical method in the treatment of isthmic lumbar spondylolisthesis with non-narrow type of intervertebral disc
Affiliation:WU Cheng-ru,ZHANG Shi-hu,SUN Guo-rong,et al. (The Second Department of Orthopedics, the No.105 Hospital of PLA, Hefei, Anhui 230031, China)
Abstract:Objective To investigate the clinical efficacy of surgical method in the treatment of isthmic lumbar spondylolisthesis with non-narrow type of intervertebral disc. Methods 50 patients with non-narrow type of intervertebral disc isthmic lumbar spondylolisthesis were treated with short phase fixation and posterolateral fusion of vertebral plate and transverse process. Results The good rate of symptoms improvement was 96%,and the rate of bone graft fusion was 100%. Conclusion The operation of short phase fixation and posterolateral fusion of vertebral plate and transverse pro-cess has advantages of less operative time,non-exposing vertebral canal,avoiding the mortally dam-age of nerve root and the catheter,less blood loss and the low cost,which is a safe and effective operation method for isthmic lumbar spondylolisthesis with non-narrow type of intervertebral disc.
Keywords:no-narrow type of intervertebral disc  isthmic  lumbar spondylolisthesis  surgical method
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