后路单双枚Cage椎间融合治疗腰椎滑脱临床疗效比较.pdfVIP

颈腰痛杂志 2012 年第 33 卷第 4 期 The Journal of Cervicodynia and Lumbodynia 2012，Vol．33 No．4 ·249· ·临床论著· 后路单双枚 Cage 椎间融合治疗腰椎滑脱 临床疗效比较 吕辉照,陈阳,赵枫,曹杰,陈超 （解放军第 180 医院骨二科，福建 泉州 362000） 摘要：目的 比较分析经后路单、双枚 Cage 椎间融合术治疗腰椎滑脱的临床疗效。方法 2004- 03- 2008- 02 我院对 100 例椎弓峡部裂性腰椎滑脱患者进行前瞻性研究，其中 9 例失去随访。 所有患者均行后路椎管减压、椎弓根钉系统内固定和 Cage 椎间植骨融合术。将患者分为 A、B 两组， A 组 47 例，为单 Cage 组；B 组 44 例，为双 Cage 组。比较两组患者的术后 VAS 疼痛评分、Oswestry 功 能障碍评分、Kirkaldy- Willis 综合临床疗效、椎间融合率、手术时间、术中出血量和并发症发生率。 结果 A、B 两组患者 VAS 疼痛评分、Oswestry 功能障碍评分、Kirkaldy- Willis 综合临床疗效、椎间融 合率、手术时间、术中出血量和并发症发生率比较无显著差异。结论 单枚或者双枚 Cage 腰椎间融 合联合椎弓根螺钉内固定术治疗腰椎滑脱，具有相同的融合率和临床疗效，并发症发生率相似。 关键词:腰椎滑脱；cage；后路椎间融合术；临床疗效 中图分类号：R681.55；R687.32 文献标识码：A 文章编号：1005-7234 （2012）04-0249-04 A comparison of posterior lumbar interbody fusion with one or two cages for isthmic spondylolisthesis LU Hui-zhao，CHEN Yang，ZHAO Feng，et al. （Department of Orthopedic Surgery，180th Hospital of Chinese PLA，Quanzhou，Fujian 362000，China） Abstract:Objective To compare the clinical and radiological outcomes of posterior lumbar interbody fusion for isthmic spondylolisthesis between one or two- cages groups. Methods Between March 2004 and February 2008，we carried out a prospective study of 100 patients with a low- grade isthmic spondylolisthesis，who were randomised to receive a single -level and instrumented posterior lumbar interbody fusion with either one or two cage. At this stage 91 patients were available for review. A total of 47 patients received one cages （group 1）and 44 two cages（group 2）. The clinical and radiological outcomes of the two groups were compared. Results There were no significant differen