摘要
目的：提高腰椎滑脱症的手术治疗及康复护理水平。方法：分析60例腰椎滑脱症的手术治疗及康复护理，其中L3～410例（16.7％），L4～523例（38．3％），L5～Sl27例（45．0％），L4～5、L5～s12节段滑脱5例（8．33％）。结果：本组60例获临床随访，优45例（75．0％）；良9例（15．0％）；可5例（8．33％），差1例（1．67％）（发生钉棒断裂）。结论：腰椎板和关节突切除，彻底减压神经根是消除腰椎滑脱症临床症状提高术后优良率的关键；有效的解剖复位是椎体稳定、植骨融合的基础；手术前后的良好护理是患者彻底康复的保证。
Objective： To improve surgical treatment of lumbar spondylolisthesis and rehabilitation care level. Methods： 60 patients with surgical treatment of spondylolisthesis and rehabilitation care, including L3--4 10 cases （16.7%）, L4--5 23 cases （38.3%）, LS--S1 27 cases （45.0%）, L4-- 5, segments L5--S1 2 spondylolisthesis in 5 cases （8.33%）. Results： 60 patients with clinical/ollow--up were excellent in 45 cases （75.0%）; good in 9 cases （15.0%） ; in 5 eases （8.33%）, poor in 1 case （1.67%） （occurring screw fracture）. Conclusion： The lumbar facet resection board and thorough decompression of nerve root is the elimination of clinical symptoms of spondylolisthesis good rate increase after key; effective anatomical reduction is the vertebral body stability and the basis of fusion; good postoperative care is to ensure complete rehabilitation of patients.
