摘要
[目的]探讨腰椎滑脱症经手术减压、神经根松解后,对滑脱椎体行复位与未复位进行对比,为指导临床对该症的手术治疗提供参考。[方法]患腰椎滑脱症经手术减压,神经根松解、行Steffee或M8腰椎内固定手术治疗的病人61例,术中对滑脱椎复位或未复位。[结果]术后随诊平均37.8个月,参照Yuan评价标准。复位组与未复位组无显著性差异。[结论]对轻度(<50%)腰椎滑脱病人,术中对滑脱椎节段椎管、神经根管彻底减压,神经根松解,椎弓根内固定后,对滑脱椎体进行复位与不复位无显著性差异。轻度腰椎滑脱症,可以选择不复位。
[Objective] To evaluate and compare the results of surgical treatment of lumbar spondylolisthesis （LS） with reduction or non-reduction of spinal sliding for illustration whether the reduction of spinal sliding of spondylolisthesis was needed. [Method] Sixty-one cases of LS with spinal sliding less than 50% and neural symptom were treated by decompression of spinal cord, releasing of nerve root and fixation with Steffee or M8 pedical screw and bony fusion. They were divided into group A, reduction of spinal sliding, and group B, non-reduction of spinal sliding. The neural function, range of spinal motion, sciatica, and pain of lower extremity were evaluated with YUAN criteria. [Result] The average follow-up time was 37.8 months. The improvement of neural function, range of spinal motion, sciatica and pain of lower extremity were satisfactory in 96.0% （21 cases） vs 83.3% （30 cases）; 72.2% （13 cases） vs 88.2% （30 cases）; and 72.7% （16 cases） vs 89.3% （25 cases） respectively. All the results showed no statistically significant difference （P 〉 0.05）. [Conclusion] It is suggested that reduction of spinal sliding in lower grade LS is not needed after surgical decompression of spinal cord, releasing of nerve root, internal fixation and bone fusion.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第3期180-182,共3页
Orthopedic Journal of China
关键词
腰椎滑脱症
复位
未复位
椎管减压
神经根再次松解
lumbar spondylolisthesis
reduction
non-reduction
spinal decompression
releasing of nerve root
