椎间加盖植骨联合椎弓根螺钉内固定术治疗36例退行性腰椎滑脱症疗效观察

摘要

目的 探讨后路椎间加盖植骨联合椎弓根螺钉内固定术治疗退行性腰椎滑脱症的临床疗效.方法 选择该院2005年3月至2008年12月退行性腰椎滑脱症患者36例,采用后路环锯加盖椎间植骨联合椎弓根螺钉复位内固定术治疗.结果 36例均获得随访6～24个月,临床融合率为100%,临床疗效采用日本JOA下腰痛疗效评定标准,优21例,良13例,一般2例,优良率为94.4%.结论 后路环锯加盖椎间植骨联合椎弓根螺钉内固定术治疗退行性腰椎滑脱症是一种安全、有效、经济且并发症少的方法.%Objective To discuss the chinical application and efficacy of posterior interbody fusion of the joint seal pedicle screw fixation for the treatment of degenerative lumbar spondylolisthesis.Methods 36 cases of dege nerative spondylolisthesis were treated with posterior lumbar interbody fusion circular saw method combined with stamped pedicle screw reduction and internal fixatton.Results 36 cases were followed up for 6 to 24 months,l00％ clinical fusion rate and clinical efficacy of low back pain by the Japanese JOA evaluation standard,excellent in 21 cases,good in 13 cases,fair in 2 cases and poor in 0 cases,good rate of 94.4％.Conclusion Posterior lumbar interbody fusion ring seal joint sawing pedicle screw fixation for the treatment of degenerative spondylolisthesis is a safe, effective and economic way and with few complications.