摘要
目的:探讨采用椎管彻底减压、后路椎间植骨融合、椎弓根系统内固定术治疗复发性腰椎间盘突出症的疗效。方法:回顾性分析我院2002-03—2008-04月期间采用椎管彻底减压、后路椎间植骨融合、椎弓根系统内固定术治疗复发性腰椎间盘突出症共64例,根据JOA评分和影像学结果评价治疗效果。结果:术前JOA评分(6.2±2.6)分,末次随访时(21.6±5.7)分,优良率84.74%,骨性融合率94%。结论:根据术前和术中对患者病情的判断和评估,采用椎管彻底减压、后路椎间植骨融合、椎弓根系统内固定术治疗复发性腰椎间盘突出症,能够提高手术效果优良率和患者满意度,减少并发症的发生。
Objective：To study the clinical results of the operation of posterior decompression,intervertebral fusion and transpedicular screw fixation for the treatment of lumbar disc herniation recurrence.Methods：64 cases treated with the operation of posterior decompression,intervertebral fusion and transpedicular screw fixation were reviewed retrospectively.The results were evaluated with Japanese Orthopedic Association score.Results：64 cases were followed for an averge period of 3 years.94% of patients＇s clinical results was excellent or good.Conclusion：Posterior decompression,intervertebral fusion with transpedicular screw fixation is a safe and effective method for the treatment of lumbar disc herniation recurrence.Clinical effect is good.
出处
《河北北方学院学报（医学版）》
2010年第2期23-25,共3页
Journal of Hebei North University:Medical Edition
关键词
腰椎
椎间盘移位
复发
再手术
Lumbar vertebrae
Intervertebral disk displacement
Recurrence
Reoperation
