Abstract:Objective To explore the surgical treatment of trans-pedicle internal fixation spinal canal stenosis and intervertebral fusion in the decompression of lumbar spinal cannal stenosis.Methods From January 2013 to December 2014, retrospective review of 25 cases with lumbar canal stenosis were given surgical treatment.Preoperative they were given routine clinical neural function examination,cinical neural function,lumbar positive side top after flexor stretch power X-ray and MRⅠ.The curative effect were assessed with oswestry disability index before and after operation.Results All 25 cases were followed for 1 to 2.5 years,averaged 1.5 years.ODⅠwas improved from(64.02±7.49)scores to(25.81± 6.92)scores after operation(P<0.05).Conclusion The good clinical efficacy can be obtained by trans-pedicle internal fixation spinal canal stenosis and intervertebral fusion.
李德 ;胡胜利 ;刘许峰; 王小娟. 椎弓根内固定联合椎间融合在腰椎管狭窄症减压手术中的应用[J]. 中国当代医药, 2016, 23(30): 44-46转49.
LI De;HU Sheng-li;LIU Xu-feng;WANG Xiao-juan. The application of trans-pedicle internal fixation and intervertebral fusion in the decompression of lumbar spinal cannal stenosis. 中国当代医药, 2016, 23(30): 44-46转49.
Lawson KJ,Malychy JL,Berry JL,et al.Lamina repair and replacement to control lamictomy membrane formation dogs[J].Spine(Phila Pa 1976),1991,16(Suppl 6):222-226.
[12]
Fischgrund JS.The argument for instrumented decompressive posterolateral fusion with degenerative spondylolisthesis and spinal stenosis[J].Spine(Phila Pa 1976),2004,29(2):173-174.
[13]
SenguptaDK,HerkowitzHN.Lumbarspinalstenosis:treatment strategies and indications for surgery[J].Orthop Clin North Am,2003,34:281-295.
[14]
Phillips FM.The argument for noninstrumented posterolateral fusion for patients with spinal stenosis and degenerative spondylolisthesis[J].Spine(Phila Pa 1976),2004,29(2):170-172.