腰椎滑脱_____腰椎滑脱；_外科治疗；

单钉-沟槽柱翼钢板联合WDFC治疗腰椎滑脱症

http://www.100md.com 《中国矫形外科杂志》 2005年第21期

腰椎滑脱,,腰椎滑脱；,外科治疗；,椎间融合,1临床资料,2结果,3讨论,参考文献：

     摘要：[目的]研究和评价单钉-沟槽柱翼钢板联合WDFC后路椎间融合在治疗腰椎滑脱的效应。[方法]对62例腰椎峡部裂并腰椎滑脱的患者施行单钉-沟槽柱翼钢板联合WDFC后路椎间融合术，观察患者术前术后和随诊期间Tailard指数、Boxall指数、滑脱角、腰椎生理前凸角、椎间隙高度指数的变化，同时观察神经症状、体征、临床疗效及融合率。[结果]本组62例平均随访243个月(17～35个月)，术后与术前Tailard指数、Boxall指数、滑脱角、腰椎生理前凸角、椎间隙高度指数有显著差异性(P<001)，术后与随访无显著性差异(P>005)，优良率935%，改善率968%，融合率100%。[结论]单钉-沟槽柱翼钢板联合WDFC后路椎间融合术具有复位良好，内固定可靠，保持椎间隙生理高度和节段稳定、融合率高等优点。

    关键词：腰椎滑脱；外科治疗；椎间融合

    Treatment of lumbar spondylisthesis with single nail & groove tail steel plate combined with Wendeng fusion cage

    ZHANG Wei,ZHU Zhengbing,TAN Yuanchao,et al

    The Orthopaedic Hospital,Wendeng,Shandong 264400

    Abstract：[Objective]To investigate the effect of single nail and groove tail steel plate combined with Wendeng fusion cage in the treatment of lumbar spondylisthesis[Method]A total of 62 cases of lumbar spondylisthesis were operated with single nail and groove tail steel plate combined with Wendeng fusion cagePre and postoperative clinical data were collected and compared as following:Tailard index,Boxall index,the spondylisthesis angle,anterior process angle,height of intervetebral spaceThe nerosymdrom,physical sign,clinical effect and fusion rate were also observed[Result]All cases were followed up for an average of 243 months(ranged,17~35 months)Tailard index,Boxall index,spondylisthesis angle,anterior process angle,and height of intervetebral space showed significant difference between pre and postoperativelyThe satisfactory rate was 935%,the improving rate was 968%,and the fusion rate was 100%[Conclusion]Single nail & groove tail steel plate combined with Wendeng fusion cage has advantages of good reduction,strong fixation,firm intervertebral height,and high fusion rateIt is a satisfactory method to treat lumbar spondylisthesis ......

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