重度腰椎滑脱症手术治疗的临床分析

Clinical study for surgical treatment of the severe lumbar spondylolisthesis

目的:通过对腰椎滑脱症手术治疗病人的回顾性临床分析,探讨有关腰椎滑脱症的手术适应证、术式选择及治疗效果。方法:依据病人情况分别采取以下术式:椎弓根钉固定复位椎板间植骨融合术;减压、椎弓根钉固定复位横突间植骨融合术;减压、椎间融合、椎弓根钉固定复位横突间植骨融合术。结果:减压、椎间融合、椎弓根钉固定复位横突间植骨融合滑脱复位率90%。结论:不同的手术方式针对不同的手术适应证。手术方式的不同因病人的病情不同而不同。

Objective:Through the analysis of spondylolisthesis treated with surgery,the different types of surgical procedures were evaluated.Methods:Patients with spondylolisthesis were divided into based on their pathology and different surgical procedures were used accordingly.They were treated with reduction of sliding vertebra and posterior interlaminar and interspinous process fusion; treated with laminectomy and decompression,with reduction of sliding vertebra and transverse process fusion; treated with laminectomy and decompression,with intervertebral body fusion,with reduction of sliding vertebra and transverse process fusion.Result: improvement rate were as high as 90%, respectively.Conclusion: Different operative methods have different operative indicationsOperative methods differ from different patients.