介绍一种自主研发的治疗腰椎滑脱的新型复位系统_论文.docxVIP

介绍一种自主研发的治疗腰椎滑脱的新型复位系统 【摘要】 评价运用作者自主研发的滑脱复位系统治疗峡部不连性腰椎滑脱症治疗效果，改变手术操作顺序,对神经根彻底减压提高治疗效果。［方法］对62例腰椎峡部不连性滑脱病人采用本系统加SRS治疗回顾和分析，并按复位效果、症状改善、椎间植骨融合,内固定材料牢固情况进行疗效评价。［结果］术后经1～6年(平均2年5个月)随访,根据NaKai评分标准优43例,良16例,可3例,无症状加重病例。无内固定松动断裂发生。［结论］新型滑脱复位系统加SRS治疗峡部不连性腰椎滑脱症效果更为切实可靠,尤其对患有骨质疏松以及腰椎滑脱严重的病人能达到很好的复位及固定效果,更容易直视下打入椎弓根钉，可防止对神经的误伤、节约了手术时间并可减少术中出血，手术操作方法简便,效果满意。 【关键词】 滑脱提拉复位系统 SRS 腰椎滑脱症 植骨融合 Abstract：［Objective］To assess the effect of a new invented spondylolisthesis reduction system：elevating pull reduction system for surgical treatment of lumbar spinal spondylolisthesis associated with isthmic spondylolysis.［Method］Sixtytwo patients with lumbar spinal spondylolisthesis were treated with elevating pull reduction system combined with SRS（spondylolisthesis reduction system）,after surgery the patients were evaluated for symptom improvement,intervertebral bone graft fusion,and internal fixation.［Result］The patients were followed up from 1 to 6 years (average 2 years and 5 months) in 62 to the criterion,excellent results were in 43 patients,good in 16,moderate in patient showed internal fixation loosening and breakage were found.［Conclusion］The new invented spondylolisthesis elevating pull reduction system combined with SRS are more effective and reliable,especially for those osteoporosis patients and serious cases，the reduction and fixation are more this procedure the pedicle entrance mouth can be seen straightly and the pedicle screw is inserted more can prevent the nerve injury,save the operation time,reduce the blood lossing,and excellent outcome can be obtained. Key words:elevating pull reduction system; spondylolisthesis reduction system（SRS）; lumbar spondylolisthesis; bone graft fusion 腰椎滑脱为临床常见病、多发病。主要症状为下腰痛,或下肢根性疼痛、麻木、间歇性跛行,在人群中发病率约为5%，需要手术者又占5%左右,数量相当大〔1、2〕。随着新型内固定器械和技术的进步,腰椎滑脱的治疗取得很大进展。1998年5月~2017年11月本科采用自主研发的椎体复位系统加SRS装置治疗腰椎体滑脱62例，初步取得满意效果。报告如下。 1 临床资料 一般情况 本组男25例，女37例；年龄22～67岁，平均岁。病变部位：L4、526 例；L5S134 例；L3、4、L4、5 、L5S1 3节段滑脱