腰椎间盘病_____腰椎间盘病；人工椎间盘；置换

腰椎间盘病的人工椎间盘置换23例报告

http://www.100md.com 《中国矫形外科杂志》 2006年第3期

腰椎间盘病,,腰椎间盘病；人工椎间盘；置换,1临床资料,2手术方法,3随访和结果,4讨论,参考文献：

     (宁波市第一医院，宁波市骨科研究所，315010)

    摘要：[目的]探讨人工椎间盘置换治疗腰椎间盘病的疗效。[方法]对23例24节段腰椎间盘病，采用人工椎间盘置换，其中男13例(14节段)，女10例;平均年龄452岁，累及L1、2 1例，L4、55例，L5S117例。以椎间盘突出症为主的椎间盘病19例，骶椎类肿瘤1例，因原椎节段椎间盘摘除术后6~85 a复发3例。[结果]23例平均随访42 a，患椎伸68°、屈67°，左右旋转17°，比术前患椎活动度伸41°、屈47°，旋转68°，有明显进步(P<005)。结合患者的满意度和JOA评价，疗效优(31~40)21例，良(21~30)1例，可(16~20)1例，无失败(<16)，优良率962%。[结论]人工椎间盘置换术是替代腰椎间融合术和治疗腰椎间盘病的有效方法。

    关键词：腰椎间盘病；人工椎间盘；置换

    Lumbar disc disorders treated with total disc replacement:a report of tweentythree cases∥

    MAO Binyao,YING Zhongzhui,HU Yutong,et al

    Ningbo No1 Hospital & Ningbo Institute of Orthopedic Surgery,Zhejiang Province 3115010

    Abstract：[Objective]To evaluate clinical treatment outcome for lumbar disc disorders with total disc replacement(TDR)[Method]Tweentythree cases (24 levels)of lumbar disc disorders,13 males and 10 females were treated with SB ⅢCharité artificial disc arthroplastyThe age was 38~61 years,with the average of 452The involvement levels were L1、2one patient,L4、5 five,L5S1 seventeen19 cases with lumbar disc disorder and lumbar disc henia mainly,one with bone liketumor on 1st sacrum,three had a relapse with the same level of lumbar disc hernia 6~85 years after operation[Result]Twentythree cases were followed up from two to six years,with the average period of 42 yearsThe degree of the motion of spinal levels through radiograph including in extension 61,flexion 67,rotation 17,which were better than the range of motion before operation (P<005)The high of intervertebral space was raised from 57mm to 89mmAccording to JOA and authors evaluation system for the spinal levels,21 cases were rated as being excellent (31~40),one good(21~30)and one poor(16~20) ......

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