| 经椎间孔入路腰椎体间融合内固定术的临床研究 |
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Received:September 19, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 曹正霖 |
CAO Zheng-lin |
佛山市中医院骨伤科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of TCM,Foshan 528000,Guangdong,China |
caozl.doctor@163.com |
| 陈逊文 |
CHEN Xun-wen |
佛山市中医院骨伤科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of TCM,Foshan 528000,Guangdong,China |
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| 吴增晖 |
WU Zeng-hui |
广州军区广州总医院骨科 |
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| 期刊信息：《中国骨伤》2009年22卷，第2期，第133-135页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨经椎间孔入路腰椎体间融合内固定术的疗效。
方法：回顾经椎间孔入路腰椎体间融合内固定术40例，共融合49个节段。分析比较术前及术后1年患者椎体间高度、角度、ODI、VAS评价、融合情况和并发症。
结果：所有病例获随访，平均18个月，无严重并发症发生。手术时间平均160 min,失血量平均510 ml.依据ODI评分标准：优28例，良7例，可5例，椎间融合率100%.术后1年ODI和VAS均较术前明显减少(P<0.01),椎间高度、角度均明显增加(P<0.05).15例末次随访时仍后遗一定程度的腰痛。
结论：经椎间孔入路腰椎体间融合内固定术可达到满意的椎间融合率和临床效果，特别适用于再次手术病例。 |
| [关键词]:脊柱融合术 腰椎 骨折固定术,内 |
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| Clinical study of transforaminal instrumented lumbar interbody fusion |
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Abstract:
Objective: To study the effect and complications of transforaminal lumbar interbody fusion technique.
Methods: The medical records and radiographs of 40 patients undergone transforaminal lumbar interbody fusion between 2005 and 2007 were retrospectively reviewed. There were 49 segments with fusion. Preoperative and 1 year postoperative functional evaluation were graded with ODI and VAS scoring system. The height and angle of the intervertebral space and the fusion status were measured as well.
Results: All patients were followed-up for 12 to 24 months with the average of 18 mouths. There were no severity postoperative complications. The operation time averaged 160 min and average blood loss 510 ml. The effect results were excellent in 28 cases,good in 7 and fair in 5. The fusion rate was 100%. One year after operation,the pain relief in the VAS and the reduction of the ODI were significant(P<0.01),the height and angle of the intervertebral space increased obviously(P<0.05). Fifteen patients complained low back pain to some extent untill the last follow-up.
Conclusion: Transforaminal lumbar interbody fusion can achieve satisfactory clinical and radiographic results especially for the failed back surgery syndrome. |
| KEYWORDS:Spinal fusion Lumbar vertebrae Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 曹正霖,陈逊文,吴增晖.经椎间孔入路腰椎体间融合内固定术的临床研究[J].中国骨伤,2009,22(2):133~135 |
| 英文格式: | CAO Zheng-lin,CHEN Xun-wen,WU Zeng-hui.Clinical study of transforaminal instrumented lumbar interbody fusion[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(2):133~135 |
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