手术治疗老年退变性腰椎滑脱合并腰椎管狭窄症62例临床分析

Clinical Analysis on the Operation Treatment in 62 Elderly Patients with Degenerative Lumbar Spondylolisthesis and Lumbar Spinal Stenosis

目的:分析观察不同手术治疗方法在老年退变性腰椎滑脱合并腰椎管狭窄症中的临床效果。方法:选取2011年1月-2012年4月于笔者所在医院进行手术治疗的62例老年退变性腰椎滑脱合并腰椎管狭窄症患者为研究对象,根据手术方式的不同将其分为A组(有限减压术组)31例和观察组(椎管减压、椎弓根内固定及植骨融合术组)31例,比较两组治疗后腰椎JOA评分优良率及治疗前后的滑脱率、Prolo评分、VAS评分。结果:B组中不同滑脱度者的JOA评分优良率均高于A组,治疗后的滑脱度、Prolo评分、VAS评分均优于A组,差异均有统计学意义(P<0.05)。结论:椎管减压、椎弓根内固定及植骨融合术治疗老年退变性腰椎滑脱合并腰椎管狭窄症的临床效果相对更好。

Objective： To analyze and observe the clinical effect of different operation treatment in elderly patients with degenerative lumbar spondylolisthesis and lumbar spinal stenosis. Method： Sixty-two elderly patients with degenerative lumbar spondylolisthesis and lumbar spinal stenosis who were treated in anthors＇s hospital from January 2011 to April 2012 were selected as research object, and they were divided into group A （ limited decompression group ） 31 cases and group B （ decompression of the spinal canal, pedicle screw fixation and bone graft fusion group ） 31 cases, then the JOA score excellent and good rate of different spondylolisthesis degree and spondylolisthesis degree, Prolo score, VAS score before and after the treatment of two groups were compared. Result： The JOA score excellent and good rate of group B with different spondylolisthesis degree were higher than those of group A, spondylolisthesis degree, Prolo score, VAS score after the treatment were all better than those of group A, there were all significant differences （ P〈0.05 ） . Conclusion： The clinical effect of decompression of the spinal canal, pedicle screw fixation and bone graft fusion in elderly patients with degenerative lumbar spondylolisthesis and lumbar spinal stenosis is relatively better.