横突间植骨融合内固定与椎间植骨融合内固定治疗腰椎滑脱症的效果

Efficacy of transeverse process grafting and centrum bone grafting fusion fixation on patients with lumbar spondylolisthesis

目的:比较椎间植骨融合内固定与横突间植骨融合内固定治疗腰椎滑脱症的临床疗效.方法:将80例腰椎滑脱症患者随机分为椎间植骨融合内固定治疗组(A组)和横突间植骨融合内固定治疗组(B组),两组分别为32例和48例,比较两组患者手术时间、出血量及手术并发症、术后植骨融合率、植骨效果等指标.结果:两组在手术时间、术中出血量、并发症等方面比较,差异无统计学意义(P>0.05);术后随访,两组在融合率、复位率等方面比较,差异均无统计学意义(P>0.05).结论:横突间植骨是I度退变性滑脱的有效植骨融合方法,对I度以上退变性滑脱和真性滑脱椎间植骨融合术是首选疗法.

AIM：To compare the efficacy of transeverse process grafting and centrum bone grafting fusion fixation for treatment of spondylolisthesis.METHODS：80 patients with lumbar spon-dylolisthesis were randomly divided into centrum bone grafting fu-sion fixation treatment group （group A）and transeverse process grafting fusion fixation treatment group （group B）,32 and 48 pa-tients respectively,to compare the operation time,blood loss, surgical complications,postoperative bone grafting fusion rate and effect of the two groups.RESULTS：There was no statistically significant difference （P〉0.05）in the operative time,intraoper-ative blood loss,complications of the two groups.Follow-up com-parison of fusion rate and reduction rate of the two groups after treatment was proceeded with no significant difference observed （P〉0.05）.CONCLUSION：The transeverse process grafting fusion fixation treatment is effective for degenerative spondylolis-thesis of Degree I,while the centrum bone grafting fusion fixation is the therapy of choice for the degenerative and real lumbar spon-dylolisthesis with more than Degree I.