双侧关节突关节切除联合椎弓根固定与椎间融合治疗双侧腰椎椎间孔狭窄症41例

发布时间：2018-10-30 15:30

【摘要】：目的探讨经后路行双侧关节突关节切除术联合椎弓根固定与椎间融合治疗双侧腰椎椎间孔狭窄症(LFS)的临床疗效。方法回顾性分析2010年2月至2013年8月天津市人民医院脊柱外科收治的因双侧LFS行经腰椎后路双侧关节突关节切除术联合椎弓根固定与椎间融合治疗的41例患者,手术前后采用Oswestry功能障碍指数(ODI)及疼痛视觉模拟量表(VAS)进行评分,测量手术前后椎间隙的前高、后高及腰1(L1)~骶1(S1)角,计算末次随访时ODI及VAS评分,椎间隙前高、后高及L1~S1角的变化。结果 41例患者均获得随访,随访时间12~36个月,平均(26.2±2.4)个月。与术前比较,末次随访时腰痛VAS评分、腿痛VAS评分、ODI降低,椎间盘前、后高度增高,差异均有统计学意义(P0.05);术前与末次随访时L1~S1角比较,差异无统计学意义(P0.05)。结论经后路行双侧关节突切除术联合椎弓根固定与椎间融合治疗双侧LFS近期临床疗效满意。
[Abstract]:Objective to investigate the clinical effect of bilateral arthrodesis through posterior approach combined with pedicle fixation and intervertebral fusion in the treatment of bilateral lumbar foraminal stenosis (LFS). Methods from February 2010 to August 2013, 41 patients with bilateral LFS who underwent bilateral arthrodesis, pedicle fixation and intervertebral fusion were retrospectively analyzed. Before and after operation, Oswestry dysfunction index (ODI) and pain visual analogue scale (VAS) were used to evaluate the anterior height, posterior height and lumbar 1 (L1) ~ sacral 1 (S1) angle of vertebral space before and after operation. ODI and VAS scores were calculated at the last follow-up. Height of anterior intervertebral space, posterior height and change of L1~S1 angle. Results all 41 patients were followed up for 12 ~ 36 months (mean (26.2 卤2.4) months). Compared with before operation, VAS score, leg pain VAS score, ODI decreased, the height before and after intervertebral disc increased significantly at the last follow-up (P0.05). There was no significant difference in L1~S1 angle between preoperative and last follow-up (P0.05). Conclusion bilateral arthrodesis via posterior approach combined with pedicle fixation and intervertebral fusion is effective in the treatment of bilateral LFS.
【作者单位】：天津医科大学研究生院;天津市人民医院脊柱外科;
【分类号】：R687.3

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