腰椎融合术后2年临近节段退变观察.docVIP

精品论文 参考文献 腰椎融合术后2年临近节段退变观察 西安交通大学第二附属医院 710004 摘要：目的：观察腰椎融合术后2年临近节段退变的特点及影响因素。方法：选择2012年3月至2015年3月期间在笔者所在医院接受腰椎融合术治疗的262例病人作为研究对象，全部患者中共计15例患者观察到了邻近节段退变。全部15例退变患者均采取返修手术处理，将减压及固定融合范围向邻近退变节段延伸，减少神经压迫，缓解患者的临床症状，评价患者的治疗效果，并进行定期随访。结果：本组研究中疗效评价为优的患者8例，良5例，可2例。X线片显示结果：全部患者的X线均显示其内固定位置良好，其中1例患者术后出现内固定松动，再次行手术治疗4个月后回到医院复查并取出固定材料，随访时间为2年，平均半年电话随访一次。全部患者术后检查椎间均未发现滑移或成角，腰椎序列得到了良好的恢复，治疗效果较好，且未发现神经系统及其他并发症。结论：腰椎融合术后邻近节段退变是术后症状复发的重要原因，退变可由多重因素引起，主要好发于融合节段的上方，应仔细鉴别症状复发的原因，必要时再次采取手术治疗依然可取得较好的临床疗效。 关键词：腰椎融合术；邻近节段退变；临床观察 [Abstract]Objective：To investigate the characteristics and influencing factors of lumbar fusion surgery adjacent segment degeneration 2 years.Methods：March 2012 to March 2015 where the author during hospital treatment of lumbar fusion surgery 262 patients for the study，all patients with a total of 15 patients were observed adjacent segment degeneration.All 15 cases of degenerative patients were taken to repair surgical treatment，the decompression and fixation and fusion range extends into adjacent segments defection back，reducing nerve compression，relieve symptoms of patients，evaluate patient outcomes，and regular follow-up.Results：The study evaluated the efficacy of this group of patients was excellent in 8 cases，good in 5 cases，2 cases.X-ray showed Results：All patients with X-ray showed its fixed position well，including one case of postoperative patients loosening，the line again four months after surgery returned to the hospital to review and remove the fixed material up for 2 years，with an average follow-up of six months once the phone.All postoperative examination were not found in patients with intervertebral or slip into a corner，lumbar sequence get a good recovery，better treatment，and did not find neurological and other complications.Conclusion：The lumbar fusion surgery adjacent segment degeneration is an important cause of postoperative recurrence of symptoms，multiple factors may cause degeneration，mainly occur in the above fusion segments should carefully i