腰椎间盘突出症合并腰椎不稳的手术治疗

Surgical Treatment of Prolapse of Lumbar Intervertebral Disc and Segmental Instability

目的探讨手术治疗腰椎间盘突出症合并腰椎不稳的疗效。方法对37例腰椎间盘突出症合并腰椎不稳患者采用后路间盘髓核摘除、椎间植骨融合或加椎板间植骨融合、椎弓根钉棒系统内固定术治疗,术后平均随访9个月。结果所有患者均达到骨性融合,临床疗效评价优28例、良7例、可2例,优良率95.6%。结论腰椎后路髓核摘除、植骨融合内固定术是治疗腰椎间盘突出症合并腰椎不稳的有效方法。

Objective To evaluate the operative results of the prolapse of lumbar intervertebral disc and segmental instability. Methods 37 patients with prolapse of lumbar intervertebral disc and segmental instability were treated surgically, including nucleus gelatinosus extirpation, lumbar fusion and transpedicular screw fixation with an average 9-month follow-up after the operation. Resuits After the treatment, the completely spine arthrodesis was obtained in all cases. Of 37 cases, 28 cases showed excellent clinical results, 7 cases were good, 2 cases improved, and the total fineness rate was 95.6%. Conclusion It is an effective therapy for patients with prolapse of lumbar intervertebral disc and segmental instability that fusing and fixing the lumbar with transpedicular screw after nucleus gelatinosus extirpation.