期刊文献+

腰椎滑脱症翻修术的策略与体会 被引量:1

Technique and strategies of posterior lumbar interbody fusion for failed back surgery syndrome spondylolisthesis
下载PDF
导出
摘要 目的针对腰椎滑脱症的再手术治疗,总结出手术技巧,提出治疗策略。方法收集2008年1月至2012年5月25例腰椎滑脱症手术失败患者,其中男性16例,女性9例;年龄28~78岁,平均52.6岁。9例采用后路减压、椎体复位、椎间植骨结合后外侧环形植骨,再用RF-Ⅱ系统加压内固定术;16例采用后路(少数病例结合前路)充分减压、椎体复位、BAK椎间融合器植入、立体植骨、RF-Ⅱ系统(少数病例采用其他系统)加压内固定术。结果全部病例术后按计划成功随访,总优良率为92.0%,腰椎滑脱大部分基本复位,临床症状明显缓解或消失,无严重并发症。结论在充分减压的基础上予椎体复位、BAK椎间融合器植入、立体植骨、RF-Ⅱ系统加压内固定治疗腰椎滑脱手术失败患者,技术规范、成熟,并发症少,实用、高效。 Objective To investigate technique and strategies of reoperation for failed back surgery syndrome. Methods From January 2008 to May 2012, 25 patients with failed back surgery syndrome were treated with reoperation. There were 16 males and 9 females with an average age of 52.6 years, ranging from 28 to 78 years. Nine patiens were treated with posterior decompression, vertebrae reduction, interbody bone grafting combined with solid bone grafting and RF- II compression internal fixation surgery. Sixteen patients were treated with ample posterior decompression (some of cases were treat with anterior decompression), vertebrae reduction, BAK interbody fusion cage implantation, solid bone grafting and RF- II (A minority of cases were used other system) compression internal fixation surgery. Results All the patients were followed up. The excellent curative ratio was 92.0%. Most lumbar spondylolysis were found with fundamental reduction. The clinical symptoms were completely relieved and disappeared. There was no serious complication. Conclusion Failed back surgery syndrome should be treated with vertebrae reduction on the basis of ample decompression, BAK interbody fusion implantation, solid bone grafting and RF- II compression internal fixation surgery, which is a treatment of technique specification and maturity with less complication, practicality and effectiveness.
出处 《海南医学》 CAS 2013年第8期1198-1201,共4页 Hainan Medical Journal
关键词 腰椎滑脱手术失败 减压 椎间融合器 立体植骨 Failed back surgery syndrome Decompression Interbody fusion cage Solid bone grafting
  • 相关文献

参考文献13

  • 1Majid K, Fischgrund JS. Degeneralive lumbar spondylolisthesis: trends in management [J]. J Am Acad Orthop Surg, 2008, 16(4): 208-215.
  • 2Potter BK, Freedman BA. Verwiebe EG, et al. Transforami_nal lum- bar interbody fusion:clinical and radiographic results and complica- tions in 100 consecutive patients [J]. J Spinal Disord Teeh, 2005, 18 (4): 337-346.
  • 3贾连顺.腰椎滑脱和腰椎滑脱症(续)[J].中国矫形外科杂志,2001,8(9):919-922. 被引量:36
  • 4Mc Cregor AH, Hughes SP. The evaluation of the surgical manage- ment of never root compression in patients with low back pain [J]. Spine, 2002, 27: 1465-1470.
  • 5Pucher A, Jankowski R, Nowak S. Surgical treatment of degenera- tive lumbar spondyloUsthesis [J]. Neurot Neurochir Pol, 2005, 39 (2): 111-119.
  • 6Lombardi JS, Wiltse LL, Reynolds J, et al. Treatment of degenera- tive spondylolisthesis [J]. Spine, 1985, 10(9): 821-827.
  • 7阮狄克.脊柱内固定后植骨融合的重要性[J].中国脊柱脊髓杂志,2002,12(5):326-326. 被引量:58
  • 8尹承慧,符臣学,徐皓,叶永平.椎弓根钉系统结合椎间融合治疗严重腰椎滑脱[J].脊柱外科杂志,2009,7(2):85-88. 被引量:18
  • 9侯树勋.正确掌握腰椎滑脱的治疗原则[J].中国脊柱脊髓杂志,1999,9(4):183-183. 被引量:98
  • 10Khan AM, Synnot K, Cammisa FP, et al. Lumbar synovial cysts of the spine: an evaluation of surgical outcome [J]. J Spinal Disord Tech, 2005, 18: 127-131.

二级参考文献17

共引文献220

同被引文献4

引证文献1

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部