[1]张军武,任龙龙.后路椎间融合术治疗两节段双侧峡部裂型腰椎滑脱症效果观察*[J].陕西医学杂志,2020,49(6):713-716.[doi:DOI:10.3969/j.issn.10007377.2020.06.018]
　ZHANG Junwu,REN Longlong..Effect of posterior interbody fusion in treatment of two-segment bilateral isthmic fissure-type lumbar spondylolisthesis[J].,2020,49(6):713-716.[doi:DOI:10.3969/j.issn.10007377.2020.06.018]
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后路椎间融合术治疗两节段双侧峡部裂型腰椎滑脱症效果观察*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年6期
页码:
713-716
栏目:
临床研究
出版日期:
2020-06-05

文章信息/Info

Title:
Effect of posterior interbody fusion in treatment of two-segment bilateral isthmic fissure-type lumbar spondylolisthesis
作者:
张军武; 任龙龙
陕西省榆林市第二医院骨科(榆林719000)
Author(s):
ZHANG Junwu; REN Longlong.
Department of Orthopaedics,the Second Hospital of Yulin City,Shaanxi Province(Yulin 719000)
关键词:
腰椎滑脱症;  后路椎间融合术;  后外侧融合术;  治疗效果
Keywords:
Lumbar spondylolisthesis;  Posterior interbody fusion;  Posterolateral fusion;  Therapeutic effect
分类号:
R686.5
DOI:
DOI:10.3969/j.issn.10007377.2020.06.018
文献标志码:
A
摘要:
目的:探讨两节段双侧峡部裂型腰椎滑脱症治疗中应用后路椎间融合术治疗的效果。方法:收集两节段双侧峡部裂型腰椎滑脱症患者100例,将其随机分为两组(各50例)。PLIF组患者给予后路椎间融合术,PLF组患者则给予后外侧椎间融合术,比较两组患者JOA总分、ODI指数、腰椎、骨盆影像参数与预后效果。结果:PLIF组患者治疗后JOA总分均显著高于PLF组(P<0.05),ODI指数均显著低于PLF组(P<0.05),椎间高度比、节段前凸角与腰椎前凸角均显著高于PLF组(P<0.05),滑脱率与盆骨倾斜角均显著低于PLF组(P<0.05),末期随访躯体疼痛、总体健康与活力评分均显著高于PLF组(P<0.05)。结论:应用后路椎间融合术治疗两节段双侧峡部裂型腰椎滑脱症效果显著,临床应用可行。
Abstract:
Objective:To explore the effect of posterior interbody fusion in the treatment of two-segment bilateral isthmic fissure-type lumbar spondylolisthesis.Methods:A total of 100 patients with two-segment bilateral segmental isthmic fissure-type lumbar spondylolisthesis were collected and randomly divided into PLIF group and PLF group,with 50 cases in each group.The PLIF group was treated with posterior interbody fusion,and the PLF group was treated with posterolateral interbody fusion.The total JOA scores,ODI indexes,lumbar spine,pelvic imaging parameters and prognosis were compared between the two groups.Results:After treatment,the total JOA scores of the PLIF group were significantly higher than those of the PLF group(P<0.05),and the ODI indexes were significantly lower than those of the PLF group(P<0.05),and the intervertebral height ratio,segment lordosis angle and lumbar lordosis angle were significantly higher than those of the PLF group(P<0.05),and the rate of slippage and the angle of pelvic tilt were significantly lower than those of the PLF group(P<0.05),and the body pain,overall health and vitality scores at the end of the follow-up period were significantly higher than those of the PLF group(P<0.05).Conclusion:The application of posterior interbody fusion in the treatment of two-segment bilateral isthmic fissure-type lumbar spondylolisthesis has significant effect and is feasible in clinical application.

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备注/Memo

备注/Memo:
*陕西省卫生和计划生育委员会科研基金资助项目(2014JH412356)
更新日期/Last Update: 2020-07-28