经椎间孔椎间融合治疗退变性腰椎疾病的临床疗效及手术策略

Cl inical efficacy and operation strategy of intervertebral foramen intervertebral fusion for degenerative lumbar disease

目的：探讨经椎间孔椎间单枚融合器融合、椎弓根钉内固定治疗退变性腰椎疾病的临床疗效。方法：采用经椎间孔椎体内单枚椎间融合器结合椎弓根钉棒系统治疗退变性腰椎疾病21例。通过下腰痛JOA评分和Dswestry功能障碍指数评分，评估其临床效果。结果：本组获随访4～14个月，术后3个月及1年JOA及ODI评分与术前比较差异显著（P﹤0．05）。结论：经椎间孔单枚融合器融合结合单侧或双侧椎弓根钉内固定治疗退变性腰椎疾病是一种创伤小、疗效确切的治疗方法。

Objective：To evaluate the clinical effect of foraminal single fusion cage , pedicle screw fixation for the treatment of lumbar degenerative disease .Methods：21 cases with using transforaminal lumbar vertebral body single fusion cage combined with pedicle in treat -ment of degenerative lumbar disease .The pain score of JOA and Dswestry disability index score evaluated the clinical effect .Results：The patients were followed up for 4~14 months, after 3 months and 1 years of compared with the preoperative JOA and ODI score difference was significant （P 〈0.05）.Conclusion：Transforaminal single fusion cage combined with unilateral or bilateral pedicle screw fixation for the treatment of lumbar degenerative disease might be a safe ,and effective method .