GSS内固定加植骨融合治疗合并腰椎不稳的复发性腰椎间盘突出症

GSS fixation and fusion for recurrent lumbar disc herniation combined with lumbar instability

目的探讨应用GSS内固定加植骨融合术治疗复发性腰椎间盘突出症的临床效果。方法对29例复发性腰椎间盘突出合并明显腰椎不稳的患者采用扩大椎管减压、GSS内固定、后外侧植骨融合的方式进行治疗。随访时间6～36个月,平均15个月。结果根据MacNab腰腿痛手术评价标准,优良率为93.1%。结论复发性腰椎间盘突出症合并腰椎不稳的患者经扩大椎管减压、GSS内固定加植骨融合治疗后效果较为满意。

Objective To study the clinical effect of General spine system（GSS） fixation and fusion for recurrent lumbar disc herniation combined with lumbar instability.Methods 29 cases of recurrent lumbar disc hemination combined with obviously lumbar instability were treated with vertebral canal decompression,posterior fusion and GSS fixation.The average follow-up time was 15 months（from 6 to 36 months）.Results According to MacNab′s cretia,the excellent and good rate is 93.1%.Conclusion The satisfactory effectiveness of the reoperation of RLDH combined with lumbar instability can be acquired by vertebral canal decompression,posterior fusion and GSS fixation.