后路钉棒系统内固定加融合手术治疗创伤性腰椎滑脱10例疗效剖析.docVIP

后路钉棒系统内固定加融合手术治疗创伤性腰椎滑脱10例疗效剖析 　　[摘要] 目的:探讨后路GSS钉棒系统内固定加融合手术治疗创伤性腰椎滑脱的临床疗效。方法:回顾性分析2005年6月～2010年1月收治的10例创伤性腰椎滑脱症病例,观察钉棒系统内固定加融合手术的疗效。结果:术后9例完全复位,1例残留Ⅰ度滑脱。术后随访6～24个月,平均12个月,其中,优9例,良1例。结论:后路钉棒系统内固定加融合手术治疗创伤性腰椎滑脱具有复位完全、固定牢固、融合满意等优点。 　　[关键词] 腰椎滑脱;创伤;内固定;后路 　　[中图分类号] R681.5 [文献标识码]A [文章编号]1673-7210(2010)06(b)-045-02 　　 　　Clinical analysis on internal fixation with nail-stick system and fusion operation via posterior approach for treating lumbar spondylolisthesis due to acute fracture 　　DAI Ping, CHEN Liangqing, YE Jun 　　(Department of Orthopaedics, Fuyong Hospital of Bao′an District in Shenzhen City, Shenzhen 518103, China) 　　[Abstract] Objective: To research the clinical effect of internal fixation with nail-stick system and fusion operation via posterior approach for treating lumbar spondylolisthesis due to acute fracture. Methods: A retrospective study of 10 patients with lumbar spondylolisthesis due to acute fracture was designed from June 2005 to January 2010.The clinical effect of internal fixation with nail-stick system and fusion operation was observed. Results: 9 cases were completely reseted in postoperation, one case remained lumbar spondylolisthesis of Ⅰ degree. The followed-up was 6 to 24 months (mean 12 months). The result of operative effect was excellent 9 cases and good 1 case. Conclusion: The operation of internal fixation with nail-stick system and fusion operation via posterior approach had the merit of completely reseting, fast fixing and satisfactory fusion. 　　[Key words] Lumbar spondylolisthesis; Trauma; Internal fixation; Posterior approac 　　 　　急性创伤导致的腰椎滑脱症比较少见,本文中笔者2005年6月～2010年1月采用后路GSS钉棒系统内固定加融合手术治疗创伤性腰椎滑脱患者10例,临床疗效优良,现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　本组10例中,男9例,女1例;年龄19~46岁,平均34岁;滑脱部位:L5滑脱9例,L4滑脱1例;滑脱程度:Ⅱ度滑脱5例,Ⅲ度1例,Ⅰ度4例;神经系统功能受损ASIA分级:B级4例,C级5例,D级1例;致伤原因:重物砸伤腰背部8例,车祸伤2例;合并四肢开放性或闭合性骨折8例,合并肾挫裂伤2例,合并中重度颅脑挫裂伤和硬膜外血肿1例,合并伤与创伤性滑脱在保证病情稳定的基础上同时或单独进行对症处理;受伤至手术时间为6 h～2周。 　　1.2 手术方法 　　10例均采用后路GSS钉棒系统内固定加融合(后外侧横突植骨或椎间植骨)手术,均在全身麻醉下手术,取俯卧位,常规后正中