采取moss—miami 系统治疗腰椎间盘突出症合并腰椎不稳.pdfVIP

中国矫形外科杂志 　2004 年 3 月第 12 卷第 5 期 　Orthop J Chin , Vol12 , No5 　March 　2004 3·25 · ·论　著· 采用 MossMiami 系统治疗腰椎间盘 突出症合并腰椎不稳 ( 18 例报道) 王建华 　夏 　虹 　尹庆水 　权 　日 　刘景发 摘 　要 　目的 : 探讨合并腰椎不稳的椎间盘突出症的治疗方法。方法 : 18 例椎间盘突出症患者 , 行腰椎动力摄 片 , 发现合并有腰椎不稳 , 其中 21 间隙出现椎间盘突出 , 17 个节段伴有腰椎不稳。采用椎板开窗、椎间盘摘除、不 稳节段用颗粒骨植骨、MossMiami 椎弓根螺钉系统固定、腰椎融合术。结果 : 术后随访 1～2 年 , 患者症状改善明显 , 优 14 例 , 良3 例 , 可 1 例 ; 椎间隙融合率 944 % , 未发生断钉退钉现象。结论 : 对合并有退变性腰椎不稳的椎间盘 突出症同时采用后路椎间隙植骨 , MossMiami 系统固定融合的方法可以获得较好疗效。 关键词 　椎间盘突出症 ; 　腰椎不稳 ; 　椎弓根内固定 中图分类号　R68153 　　　文献标识码 　A 　　　文章编号 　1005 - 8478 (2004) 05 - 0325 - 03 　　MossMiami system for treatment of the lumbar disc herniation combined with unstabiliby ∥WANGJianhua , XIA Hong , YIN Qingshui , et al Orthopaedic Department , General Hospital of Guangzhou Military Command , Guangzhou 510010 Abstract 　Objective : To investigate the treatment of lumbar disc herniation combined with unstabilityMethod : Eighteen patients with lumbar disc herniation were found unstability with the mobile X ray photography , among them , 21 discs were diagnozed as lumbar disc heriniation and 17 segments had unstabilibyThen the patients underwent exploratory laminetomy with a small window and the de generative disc were picked out , the gaps were filled out with granule self boneIn the operation , the MossMiami system were used for the intervertebral fusion and fixationResults : The patients were followed up for 1～2 years , the symptoms were improved obvious lyExcellent 14 , good 3 , improved 1The fusion rate is 944 % , without nails break or regressConclusion : The MossMiami system is