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腰椎不稳合并椎间盘突出的临床分析
引用本文:陈德龙,陈小龙,向道友,邓中华.腰椎不稳合并椎间盘突出的临床分析[J].西部医学,2009,21(5):817-818.
作者姓名:陈德龙  陈小龙  向道友  邓中华
作者单位:遂宁市第一人民医院,四川,遂宁,629000
摘    要:目的观察腰椎不稳合并椎间盘突出的手术疗效。方法对23例腰椎不稳合并椎间盘突出患者行椎弓根内固定、髓核摘除、椎间植骨手术治疗。结果23例患者术后骨性融合率97.2%,临床症状采用日本矫形外科学会(JOA)下腰痛评分标准评价,临床优良率89.2%,1例出现神经根激惹。本组无内固定松动、断裂。结论腰椎不稳合并椎间盘突出行椎弓根内固定、髓核摘除、椎间植骨有良好近期疗效,远期疗效有待进一步观察。

关 键 词:腰椎不稳  椎间盘突出  手术  疗效

Clinical analysis of lumbar instability combined lumbar disc herniation
Institution:CHEN De-long, CHEN Xiao-long, XIANG Dao-you,et al ( The First People Hospital of Suining, Suining 629000, Sichuan, China)
Abstract:Objective To analyze the effect of the lumbar instability combined lumbar disc herniation after operation. Methods 23 cases of lumbar instability combined lumbar disc herniation were treated by pedicle screws internal fixation, lumbar diskectomy and bone fusion. Results Bone fusion rate was 97.2%. The excellent rate was 89.19%. 1 case appeared nerve root agitation. There were no loose and breakage pedicle screws. Conclusion Pedicle screws internal fixation, lumbar diskectomy and bone fusion could gain a good effect on lumbar instability combined lumbar disc herniation.
Keywords:Lumbar instability  Lumbar disc herniation  Surgery
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