有限固定治疗青少年腰椎峡部性脊椎滑脱分析

Analysis of adolescents' lumbar spondylolysis treated by limited fixation

目的探讨治疗青少年腰椎峡部性脊椎滑脱的手术方法和疗效。方法 47例腰椎峡部性脊椎滑脱青少年患者,均采用磨钻清除峡部硬化骨,植入松质骨,椎弓根螺钉复位、固定滑移椎体,部分神经压迫严重者进行有效的减压。所有患者术前和术后均进行NRS疼痛评估。结果本组47例患者随访疼痛基本完全消失,X线显示融合部位骨性愈合43例。结论椎弓根螺钉有限固定技术治疗青少年腰椎峡部性脊椎滑脱,具有疗效确切、术后脊柱功能恢复快的优点。

Objective To investigate the method and effect of adolescents＇ lumbar spondylolysis in Limited fixation. Methods From 2001 to 2012,a total of 47 cases of adolescent patients, aged from 13 to 24,with lumbar spondylolysis were treated in our hospital. Use drill grinding clearance isthmus hardened bone, implantation of cancellous bone, pedicle screw reduction, the fixation of sliding vertebral body and the relief of some serious nerve compression. All patients axe analyzed preoperatively and postoperatively for NRS pain assessment. Results The pain of the 47 patients followed up later disappeared completely. 43 cases showed bone healing by X-ray. Conclusion Pediele screw limited fixation techniques in the treatment of lumbar isthmic spondylolysis in adolescent have the advantages of good curative effects and faster postoperative recovery of spinal function.