luxor通道下微创tlif术治疗腰椎滑脱症的临床应用word论文.docxVIP

摘要方法：回顾性分析2012年10月-2014年2月期间，我院骨科收治的采用Luxor通道下TLIF术治疗腰椎滑脱患者36例，观察术后３个月、一年患者ODI评分、VAS评 分改善率，了解椎间融合情况及内固定有无松脱、断裂等情况。 结果及结论：所有患者手术顺利完成，无脑脊液漏及神经损伤，术后 1 例切口感染、抗生素治疗 10 天后感染控制，余患者切口均甲级愈合；所有患者均获得 随访，术后术后３个月及 1 年随访时 ODI 评分均较术前明显恢复，差异有统计 学意义（P＜0.05），术后３个月及 1 年时两者 ODI[6]评分差异无统计学意义（P＞0.05）；随访 1 年时改善率为（65.3±14.8）％。术后３个月及 1 年随访时VAS 评分均较术前明显改善，差异有统计学意义（P＜0.05），术后３个月与 1年随访时比较差异无统计学意义（Ｐ＞０．０５）；术后 1 年随访时改善率为（58.2±12.0）％ 。Luxor 通道下 TLIF 术治疗腰椎滑脱为微创治疗腰椎滑脱的 可行的手术方式，不仅能有效的纠正腰椎滑脱畸形、维持脊柱的生物力学稳定、 改善患者症状，还能降低患者术后腰背痛的发生率，获得较高的生活质量。 关键词：脊柱植入物；可扩张通道；腰椎滑脱；微创IIClinical application on transforaminal lumbar interbody fusion via quadrant system in the surgery 0f lumbar spondylolisthesiscandidate for M.M Zhilei Li SuperVisor Yingjie HaoThe First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaAbstractBackgroud:Lumbar olisthe disease is one of the most common type of spondylolisthesis, refers to the lumbar spine a segment relative to its adjacent segment appear in displacement, vertebral body can glide forward, back and side slip.and its clinical symptoms of the mechanism is more complicated,To: (1) spondylolysis caused anomalous vertebral arch activities;(2) slip between segment sequence errors;(3) unstable periodic;(4) spondylolysis fibrocartilage tissue oppressed nerve root;(5) with disc herniation and spinal canal stenosis;(6)Small joint degeneration,etc.The aim of the Surgery is restoring the spinal sagittal plane curve, the continuity of rebuilding the three column structure, restoring intervertebral height and ensure smooth disconnect segment fusion to avoid slip again.Surgery is often used in situ fusion in the past, such as intervertebral bone graft fusion or bone graft fusion between transverse process, postoperative often tend to slip again;In recent years, the development of spine biomechanics and the application of new type of spinal internal fixation system, it has a new understanding to Lumbar fusion and reset.posterior lumbai interbody fusion,（PLIF） joint posterior p