脊椎钉棒固定系统联合椎体间植骨治疗腰椎滑脱症临床疗效观察

摘要

目的:观察脊椎钉棒固定系统联合椎体间植骨治疗腰椎滑脱症的临床疗效. 方法:回顾性分析85例腰椎滑脱症患者的临床资料,所有患者均采用脊椎钉棒固定系统联合椎体间植骨治疗,观察患者的随访结果. 结果:所有患者均获得随访,平均随访(15.4±2.1)个月;末次随访时的临床总有效率、腰椎整体复位率、术后融合率分别为92.9%、94.1%、96.5%;术后1月和6月的JOA评分、椎间隙高度、滑脱距离、滑脱角均较治疗前显著改善( P<0.05). 结论:脊椎钉棒固定系统联合椎体间植骨治疗腰椎滑脱症具有较高的临床价值,椎体滑脱复位满意、椎间高度维持良好、植骨融合率高,建议临床推广.%Objective:To observe the clinical efficacy of spinal nail-stick fixation system combined with intervertebral bone-graft treating lumbar spondylolisthesis.Method:The clinical data of 85 cases with lum-bar spondylolisthesis were analyzed retrospectively.All patients were treated with spinal nail-stick fixation system combined with intervertebral bone-graft.The follow-up results of the patients were observed.Result:All patients were followed up for (15.4±2.1)months averagely.The clinical total effective rate, overall reset rate of lumbar vertebra and fusion rate after operation for the last follow up was 92.9%, 94.1%and 96.5%. JOA score, the height of vertebrae interval, subluxation distance and subluxation angle 1 month and 6 months after treatment improved evidently compared with that before treatment.Conclusion: Spinal nail-stick fixation system combined with intervertebral bone-graft in treating lumbar spondylolisthesis has great clinical value, and the spondylolisthesis is satisfying, the intervertebral space height keeps good, and pedicle fusion rate is high, which is worthy of clinical promotion.