宋德勇;陈仲;王锋;禤天航;王昌兵;陈景利;

• 1:佛山市中医院脊柱外科
• 2:南方医科大学珠江医院脊柱外科
• 3:佛山市禅城区中心医院脊柱外科

摘要(Abstract)：

[目的]比较两种植骨融合方式治疗双节段峡部裂腰椎滑脱症的疗效[方法]回顾性分析2004年6月~2014年12月收治的双节段峡部裂腰椎滑脱症患者61例,其中应用椎间单纯自体骨植骨治疗32例(单纯植骨组),椎体间笼架融合治疗29例(笼架组)。比较两组的临床与影像参数。[结果]两组手术时间、术中出血量及住院时间差异无统计学意义;两组患者术前VAS、ODI评分比较差异无统计学意义,术后均显著改善,末次随访时两组VAS、ODI评分比较差异无统计学意义;两组术后并发症发生率比较差异无统计学意义。单纯植骨组融合率为93.7%,笼架组为93.1%;术后两组患者椎间隙高度及滑脱度较术前均有明显改善;除PI以外,两组骨盆参数及腰椎前凸角均较术前改善,差异均有统计学意义(P<0.05)。末次随访时两组间腰椎前凸角及骨盆矢状位参数比较,差异均无统计学意义(P>0.05)。两组术后并发症发生率比较差异无统计学意义。[结论]两种植骨融合方式治疗峡部裂腰椎滑脱均可获得较好的临床疗效。

关键词(KeyWords)： 双节段峡部裂腰椎滑脱症;椎间融合;单纯植骨;笼架

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 宋德勇;陈仲;王锋;禤天航;王昌兵;陈景利;

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参考文献(References)：

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