原位固定后路椎间隙植骨融合治疗腰椎间盘突出症术后复发疗效分析

The efficacy analysis for the treatment with the pedicle screw fixation and lumbar interbody fusion in lumbar disc herniation recurrence after operation

目的探讨腰椎间盘突出症术后复发原因及手术的疗效。方法采用后路原位固定椎间隙植骨融合治疗43例腰椎间盘突出症术后复发患者。结果 43例均获随访,时间6个月～7年,植骨块均愈合。根据JOA评分:优35例,良7例,可1例,优良率达97.7%。结论使用后路原位固定椎间隙植骨融合治疗腰椎间盘突出症术后复发,是防止腰椎间盘突出症术后复发再发腰腿痛、提高患者生活质量的有效方法。

Objective To study recurrent causes and treatment of postoperation on lumbar disc herniation. Methods 43 recurrent cases underwent the pediele screw fixation and lumbar interbody fusion. The postoperative data of all cases were adopted for retrospective analysis. Results All patients were followed-up with a duration of 0. 5 - 7 years postoperatively. According to the JOA score,97.7% of the patients obtained excellent or good result（ excellent ：35 patients;good：7 patients;fair：l patient）. Conclusions The pedicle screw fixation and lumbar interbody fusion is effective in dealing with lumbar disc herniation recurrence after operation.