Pressure interbody fusion transforaminal lumbar spondylolisthesis extensive decompression.doc

 PAGE \* MERGEFORMAT 7 Pressure interbody fusion transforaminal lumbar spondylolisthesis extensive decompression Study: Quarter Yong Zhu, Sun Fengxiang, Xu Qin, Han Naifu, Wen-Xiang Zhang, Chen Yu, Zou Chun Jin, Zhang Weifeng, Xue Rong, Chen Yuqing [Abstract] surgical treatment of spondylolisthesis of the efficacy, the use of pedicle screw system reset, pressure interbody fusion, transforaminal lumbar spondylolisthesis extensive decompression in 26 cases. Treatment of excellent and good rate accounted for 92.31%. [Keywords:] lumbar vertebral foramen Since May 2002, we have used pedicle screw system and interbody fusion pressure, intervertebral foramen to expand the treatment of lumbar decompression and received good clinical results, are as follows. Clinical data 1 General information The 26 cases, 11 cases of men and 15 women, aged 37 to 72 years, mean 51.9 years old. The average duration of 2 years and 6 months, .26 cases spondylolysis in 17 cases, 9 cases of degenerative spondylolisthesis, slip out of line Section L4 ~ 521 , L5 ~ S15 cases. by Heyevding classification [1]: spondylolisthesis in 7 cases, spondylolisthesis in 19 cases. All patients had more than 1 year of low back pain and lower extremity radicular pain symptoms by conservative treatment fails . Prone position in patients with 2 surgical techniques, the use of general anesthesia or epidural anesthesia. After the incision, the conventional pedicle screw system, the removal of the floating lamina, fibrous scar removal isthmus, expanding nerve root canal, removal of intervertebral disc, support open disc space, pulling the reset screw to reset the vertebral slippage, X line to confirm the position of pedicle screws and locking nuts after satisfactory reduction, under the protection of cotton piece will open the upper nerve root, the next bit to the inside of the nerve root retractor protection, with reamer to clear the remaining discs, the choice of interbody fusion (Cage