不同手术方法治疗腰椎滑脱症的评价

Evaluation on Different of TreatingPatients with Lumbar Vertebra Dislocation

对５３例腰椎滑脱症的患者施行了五种不同手术方式，分别为椎板减压后单纯脊柱植骨融合术、luque’s棒内固定加植骨融合术、椎体复位、Dick’s钉、Steffee钢板或ＲＦ内固定加植骨融合术。术后随访６月-３年。对比分析各术式手术前后的临床症状改善程度、患椎的平均滑脱距离和平均活动度。五种术式的优良率依次为71．5％、77．8％、81．8％、84．4％、83．3％。Steffee钢板结构简单，易操作，ＲＦ固定两节脊柱，损伤小，两者优良率相似，均在８０％以上，为治疗腰椎滑脱症的首选内固定器。

53 cases with lumbar vertebra dislocation were treated by 5 different methods of operations fromJan. 1991 to Dec. 1997. The curative effects of these methods were studied and evaluated.