单侧椎弓根钉固定术后Cage沉降的临床研究
发布时间：2018-08-30 19:42
【摘要】：目的1.分析椎弓根钉固定联合椎间Cage植骨融合术治疗腰椎退变性疾病的临床疗效和影像学改变。2.研究单侧椎弓根钉固定联合椎间Cage植骨融合术治疗退变性腰椎疾病术后Cage沉降的危险性因素。方法1.收集2009年至2011年我院退行性腰椎疾病采用椎弓根钉固定联合椎间Cage植骨融合术治疗的患者。根据手术方式将患者分为单侧组和双侧组,根据影像结果将患者分为沉降组和非沉降组。2.统计患者的年龄、性别、术前诊断、术中出血等数据,并采用VAS、ODI和下腰痛JOA评分表对患者进行手术前后实际情况的评分。采用GE Medical System软件测量手术前后患者的LSA、LLA和MDSH进行评估。结果1.单侧与双侧椎弓根钉固定技术应用于腰椎退变性患者术后Cage均会发生一定程度的沉降,但是其临床疗效是安全可靠的。2.L5/S1节段及高龄是单侧椎弓根钉固定术后Cage沉降的危险因素。结论单侧椎弓根钉固定联合椎间Cage技术在腰椎的退变性患者中的应用是安全的,术后Cage会发生一定程度的沉降,但与临床疗效无明显的相关。L5/S1节段及高龄是Cage沉降危险性因素。
[Abstract]:Objective 1. To analyze the clinical effect and imaging changes of pedicle screw fixation combined with intervertebral Cage bone grafting and fusion in the treatment of lumbar degenerative diseases. To study the risk factors of Cage subsidence after unilateral pedicle screw fixation combined with intervertebral Cage bone grafting and fusion in the treatment of degenerative lumbar disease. Method 1. Patients with degenerative lumbar spine diseases treated by pedicle screw fixation and intervertebral Cage fusion from 2009 to 2011 were collected. The patients were divided into unilateral group and bilateral group according to the operation method, and the patients were divided into two groups according to the imaging results: the subsidence group and the non-subsidence group. 2. The data of age, sex, preoperative diagnosis and intraoperative hemorrhage were counted, and the actual situation of patients before and after operation was evaluated by VAS,ODI and low back pain JOA scale. The LSA,LLA and MDSH of patients before and after operation were measured by GE Medical System software. Result 1. Unilateral and bilateral pedicle screw fixation techniques were used to treat lumbar degenerative patients with postoperative Cage subsidence to a certain extent, but the clinical effect was safe and reliable. 2.L5 / S1 segment and old age were the risk factors of Cage subsidence after unilateral pedicle screw fixation. Conclusion unilateral pedicle screw fixation combined with intervertebral Cage technique is safe in patients with degenerative lumbar vertebrae. Cage will have a certain degree of subsidence after operation, but there is no significant correlation with clinical effect. L5 / S1 segment and old age are risk factors of Cage sedimentation.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
本文编号：2214096
[Abstract]:Objective 1. To analyze the clinical effect and imaging changes of pedicle screw fixation combined with intervertebral Cage bone grafting and fusion in the treatment of lumbar degenerative diseases. To study the risk factors of Cage subsidence after unilateral pedicle screw fixation combined with intervertebral Cage bone grafting and fusion in the treatment of degenerative lumbar disease. Method 1. Patients with degenerative lumbar spine diseases treated by pedicle screw fixation and intervertebral Cage fusion from 2009 to 2011 were collected. The patients were divided into unilateral group and bilateral group according to the operation method, and the patients were divided into two groups according to the imaging results: the subsidence group and the non-subsidence group. 2. The data of age, sex, preoperative diagnosis and intraoperative hemorrhage were counted, and the actual situation of patients before and after operation was evaluated by VAS,ODI and low back pain JOA scale. The LSA,LLA and MDSH of patients before and after operation were measured by GE Medical System software. Result 1. Unilateral and bilateral pedicle screw fixation techniques were used to treat lumbar degenerative patients with postoperative Cage subsidence to a certain extent, but the clinical effect was safe and reliable. 2.L5 / S1 segment and old age were the risk factors of Cage subsidence after unilateral pedicle screw fixation. Conclusion unilateral pedicle screw fixation combined with intervertebral Cage technique is safe in patients with degenerative lumbar vertebrae. Cage will have a certain degree of subsidence after operation, but there is no significant correlation with clinical effect. L5 / S1 segment and old age are risk factors of Cage sedimentation.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
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相关期刊论文 前2条
1 俞武良;陆建猛;韦勇力;方明;王兴武;欧阳甲;;单侧椎弓根螺钉固定并椎间融合治疗极外侧腰椎间盘突出症[J];中国骨伤;2013年01期
2 陈柏龄;魏富鑫;植山和正;三户明夫;刘少喻;廖鹰扬;;腰椎单节段固定融合术后上位相邻节段退变及其与临床疗效的关系[J];中国脊柱脊髓杂志;2011年02期
，本文编号：2214096
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