后路减压、复位内固定及植骨融合术治疗腰椎滑脱症

Posterior-discompression and reduction-fixation and intertransversal fusion in treatment of spondylotisthesis

目的:通过手术矫正腰椎滑脱,加强其稳定性并解除神经根或马尾压迫。评价24例腰椎滑脱症的后路减压、复位内固定及植骨融合手术的疗效。方法:腰椎滑脱症患者24例,其中男9例,女15例,根据Meyerding标准:Ⅰ度滑脱19例,Ⅱ度滑脱5例,采用后路椎弓根螺钉内固定加椎间与横突间植骨融合的方法进行治疗。结果:根据临床疗效评定标准,优良率为95.83%,无断钉现象,术后有神经根症状患者3例,通过对症治疗2～3周后症状消失。结论:探讨手术原则和要求,阐明本病的病因病理、手术治疗机制及并发症的预防,并证明后路减压、复位内固定及植骨融合术治疗腰椎滑脱症是一种满意的手术方法。

Objective： Rectifies the Spondylolisthy through the surgery to he abnormal, strengthens its stability and relieves the radieulopath or the mawei oppression. The therapy of surgery were evaluated that 24 cases Spondylolisthesis were treated with the route of retreat decompression, reduction-fixation and pedicle of vertebral fusion. Methods： 24 cases of Spondylolisthesis were classified according to Meyerding standard, in which, 19 cases had Ⅰ degree, 5 cases had Ⅱ degree lesions. The patients were treated with fination through pedicle of vertebral arch and intervertebral fusion or transverse process fusion. Results： The rate of excellent and good resules were 95.83%, according to evaluation of the clinic improvement. No screw breakage happend, 3 patients had radiculopathy which disappeared after 2 to 3 weeks by treating. Conclusion： Discussing the surgical principles and requirements, illuminating the cause and pathology of the disease,surgical treatment mechanisms and preventing the complication. To improve, route of retreat decompression, reduction-fixation and pedicle of vertebral fusion, those technique which is a satisfactory surgical methods.