摘要
自1985年6月~1991年10月对49例腰椎滑脱伴有神经症状者进行了手术治疗。对28例腰椎滑脱小于25%者,给予椎管、根管扩大减压后行棘突间“H”型植骨和横突间植骨融合术。21例滑脱大于25%者,除采用扩大性减压外,同时行Steffee槽式钢板复位内固定加横突间植骨融合术。经过3年6个月随访。优良率为85.6%,有效率95.8%。作者对外科治疗的选择作了讨论。
From 1985 to 1991, 28 cases of olisthe less than 25% were treated with interspinal 'H', type and intertransverse bone grafting and fusion after removing mobilized spinous process and vertebral lamina, enlarging decompression of vertebral and root canal. 21 cases of olisthe more than 25% were treated by reduction and internal fixation with Steffee' B intertransverse bonegrafting and fusion. After followed up for 3 years and 6 months, good and excellent rate were 85. 6% and effective rate was 95. 8% according to wiltse method. The Choice of surgical treatment were discussed.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1993年第4期154-155,173,共3页
Chinese Journal of Spine and Spinal Cord
关键词
腰椎滑脱症
外科手术
Lumbar spondylolisthesis
Decompression
Slot-type Steffee plate
Reduction
Bone grafting
Fusion