钛笼原位脊柱附件骨后路椎间植骨融合治疗腰椎滑脱症.doc

钛笼原位脊柱附件骨后路椎间植骨融合治疗腰椎滑脱症 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：钛笼原位脊柱附件骨后路椎间植骨融合治疗腰椎滑脱症 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：椎弓根螺钉内固定椎间植骨融合治疗腰椎滑脱症 8 1 资料与方法 8 2 结果 9 3 讨论 9 参考文摘引言： 11 原创性声明（模板） 13 文章致谢（模板） 13 正文 钛笼原位脊柱附件骨后路椎间植骨融合治疗腰椎滑脱症 文1：钛笼原位脊柱附件骨后路椎间植骨融合治疗腰椎滑脱症 【Abstract】 Objective To review 51 cases of spondylolisthesis who accepted the treatment of posterior lumbar interbody fusion using cage with local bone and evaluate the efficiency and the feasibility of cage with local bone in posterior lumbar interbody fusion. Methods 51 cases with the age from 6 to 79 yea (average yea) were treated with posterior lumbar canal decompression by resection of spinal appendicular bone of diseased segment and with pedicle screw fixation and cage with local bone. All cases were followed up for yea (2-8 yea). The evaluated paramete included JOA scores, fusion status, clinical symptoms remission status, complicatio and patients’ satisfactory investigation. Results All patients’ clinical symptoms remitted in different degrees. Clinical improvement rate (postoperative JOA scores-preoperative JOA scores)/(29-preoperative JOA scores)×100% was %, % and % respectively at post-operation, 1 year after operation and the latest follow-up time. Fusion rate was % at the last follow-up point. Solid fusion was not observed in 1 case and it was re-operated 2 yea after the operation. Complication rate was % in pre-operation and % in follow-up time. Patients’ satisfactory rate was %. Conclusion The biological fusion ability of cage can fulfill clinical need. The posterior lumbar interbody fusion using cage with local bone is suitable for patients with spondylolisthesis. 【Key words】 PLIF; spondylolisthesis; local bone 随着脊柱外科技术的 发展 ，腰椎滑脱的治疗方式也得到不断的发展，但其核心治疗原则仍不变——彻底减压、复位、融合固定[1]。Cloward首次报道了后路椎间融合(PLIF)的良好临床结果，但经典Cloward术式植骨不融合率及残留神经症状发生率不可忽视[2，3]。自2000年，我科应用后路椎管减压所切除的脊柱附件骨行后路钛笼椎间植骨融合治疗腰椎滑脱病例51例，取得了满意的疗效，现将其临床结果报道如下。 1 资料与方法 一般资料 2000年7月—2008年7月我科应用钛笼原位脊柱附件骨后路椎间融合治疗腰椎滑