【摘要】：目的1.分析椎弓根釘固定聯(lián)合椎間Cage植骨融合術(shù)治療腰椎退變性疾病的臨床療效和影像學(xué)改變。2.研究單側(cè)椎弓根釘固定聯(lián)合椎間Cage植骨融合術(shù)治療退變性腰椎疾病術(shù)后Cage沉降的危險性因素。方法1.收集2009年至2011年我院退行性腰椎疾病采用椎弓根釘固定聯(lián)合椎間Cage植骨融合術(shù)治療的患者。根據(jù)手術(shù)方式將患者分為單側(cè)組和雙側(cè)組,根據(jù)影像結(jié)果將患者分為沉降組和非沉降組。2.統(tǒng)計患者的年齡、性別、術(shù)前診斷、術(shù)中出血等數(shù)據(jù),并采用VAS、ODI和下腰痛JOA評分表對患者進行手術(shù)前后實際情況的評分。采用GE Medical System軟件測量手術(shù)前后患者的LSA、LLA和MDSH進行評估。結(jié)果1.單側(cè)與雙側(cè)椎弓根釘固定技術(shù)應(yīng)用于腰椎退變性患者術(shù)后Cage均會發(fā)生一定程度的沉降,但是其臨床療效是安全可靠的。2.L5/S1節(jié)段及高齡是單側(cè)椎弓根釘固定術(shù)后Cage沉降的危險因素。結(jié)論單側(cè)椎弓根釘固定聯(lián)合椎間Cage技術(shù)在腰椎的退變性患者中的應(yīng)用是安全的,術(shù)后Cage會發(fā)生一定程度的沉降,但與臨床療效無明顯的相關(guān)。L5/S1節(jié)段及高齡是Cage沉降危險性因素。
[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.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

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本文編號：2214096