单侧椎弓根钉内固定并植骨融合术治疗多阶段腰椎间盘突出症

Unilateral pedicle screw fixation and fusion in treatment of multi-stage lumbar disc herniation 20 cases

目的探讨单侧椎弓根钉内固定并植骨融合术治疗腰椎间盘突出症的方法、应用价值和实际疗效。方法对20例一侧肢体为主要症状的腰椎间盘突出症患者行腰椎经单侧椎弓根钉内固定并植骨融合术。结果 20例患者手术时间60～110min,平均(80±10)min,出血量150～350ml,平均(280±20)ml;切口均皮内缝合,Ⅰ期愈合,术后住院时间7～11d,平均(9±1)d;术后3～6个月达到植骨融合,平均术后3个月恢复正常生活,无螺钉相关并发症,无感染病例,无假关节发生;优12例,良6例,可2例,差0例,优良率90%。结论单侧椎弓根钉内固定并植骨融合术是可行的脊柱外科技术,治疗腰椎间盘突出症可获得满意的临床效果。

Objective To investigate the application value and practical effect of the unilateral pedicle screw fixation and bone grafting method of treatment of lumbar disc herniation.Methods Twenty patients with the side of the body as the main symptoms of lumbar disc herniation after unilateral lumbar pedicle screw fixation and fusion.Results Totally 20 patients,operative time 60~110min,the average（80±10） min,blood loss 150~350ml,average（280±20） ml;Skin incision were sutured,I healing,postoperative hospital stay was 7~11d,average（9±1） d;after 3 to 6 months to reach fusion,an average of 3 months after return to normal life,no screw-related complications,no infections,no pseudarthrosis occurred;Excellent in 12 cases,good in 6 cases and 2 cases and poor in 0 cases,excellent rate of 90%.Conclusions Unilateral pedicle screw fixation and bone grafting is feasible spinal surgical techniques,treatment of lumbar disc herniation to secure a satisfactory clinical results.