小切口XLIF联合侧路椎弓根钉固定治疗腰椎不稳

王诗成; 潘磊; 刘青华; 薛厚军; 李捷; 陈伟雄

doi:10.13418/j.issn.1001-165x.2018.06.020

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (6) : 697-700. DOI: 10.13418/j.issn.1001-165x.2018.06.020

临床研究

小切口XLIF联合侧路椎弓根钉固定治疗腰椎不稳

王诗成，　潘磊，　刘青华，　薛厚军，　李捷，　陈伟雄

作者信息 +

Clinical outcomes of XLIF through small incision approach combined with lateral pedicle screw fixation for degenerative lumbar segmental instability

WANG Shi-cheng, PAN Lei, LIU Qing-hua, XUE Hou-jun, LI Jie, CHEN Wei-xiong

Author information +

文章历史 +

摘要

目的　探讨极外侧椎间融合术治疗退行性腰椎不稳的近期临床疗效。方法　回顾性分析2017年01月至2018年02月应用小切口单节段XLIF联合侧路椎弓根钉棒内固定治疗退行性腰椎不稳的32例病例资料， L4/5 11例，L3/4 15例，L2/3 6例。采用术前及末次随访疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)及腰椎JOA评分评估临床疗效。测量术前及末次随访融合节段椎间隙高度，前凸角，活动度评估椎间融合情况。结果　所有患者均获得随访，随访时间为6~18个月，平均12.5个月。手术时间(46±15) min；术中出血量(65±38) ml。VAS评分、0DI及腰椎JOA评分均较术前显著改善。术后融合节段椎间隙背侧和腹侧高度增加3.8 mm和4.4 mm，融合节段前凸角为12.4°，节段活动度为2.15°和2.35 mm。总体并发症发生率为15.6%,在随访过程中得到完全缓解。结论　对于退行性腰椎不稳，XLIF联合侧路椎弓根钉固定作为一种微创脊柱融合技术，可获得良好的短期疗效，具有临床应用价值。

Abstract

Department of Orthopedic Surgery，Sanshui Hospital，Foshan 528100, China

导出引用

王诗成,潘磊,刘青华,薛厚军,李捷,陈伟雄. 小切口XLIF联合侧路椎弓根钉固定治疗腰椎不稳[J]. 中国临床解剖学杂志. 2018, 36(6): 697-700 https://doi.org/10.13418/j.issn.1001-165x.2018.06.020

WANG Shi-cheng, PAN Lei, LIU Qing-hua, XUE Hou-jun, LI Jie, CHEN Wei-xiong. Clinical outcomes of XLIF through small incision approach combined with lateral pedicle screw fixation for degenerative lumbar segmental instability[J]. Chinese Journal of Clinical Anatomy. 2018, 36(6): 697-700 https://doi.org/10.13418/j.issn.1001-165x.2018.06.020

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