单侧椎弓根钉固定椎间融合治疗单节段腰椎退变的可行性分析

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1、延边大学硕士学位论文英文缩写词表临近节段病：adjacentsegmentdisease，ASD腰椎间盘突出症：Lumbardischerniation,LDH要椎管狭窄症：Lumbarspinalstenosis,LSS腰椎术后综合征：failedbacksurgerysyndrome,FBSS后路腰椎椎间融合术：PosteriorlumbarinterbodyfusionPLIF经腰椎椎间孔椎体间植骨融合术：TransforaminalLumbarInterbodyFusion，TLILIV万方数据延边大学硕士学位论文目录中文摘要··········

2、··············································ＩAbstrct·······················································Ⅱ英文缩写词表··················································Ⅳ前言····························································1第一章材料和方法··········································

3、··31.1一般资料·············································31.2手术方法·················································41.2.1Wiltse切口单侧椎弓钉固定椎间融合术组手术操作········41.2.2双侧椎弓根钉固定椎体融合术组手术操作················41.3术后处理············································41.4观测指标·····························

4、···············51.5统计方法·············································5第二章结果····················································62.1术前参数··················································62.2术中及术后参数········································62.3末次随访参数···································

5、···········6图表························································8第三章讨论···················································9第四章结论···················································14附录·······················································15参考文献·······························

6、························20致谢························································22综述·······················································23参考文献·······················································39万方数据延边大学硕士学位论文前言腰椎间盘突出症（Lumbardischerniation,LDH）及腰椎管狭窄症（Lumbarspinalsteno

7、sis,LSS）是脊柱外科的常见病及多发病，多为腰椎退行性改变引起的疾病，其发病率较高，严重威胁人们的健康及生活质量。其治疗手段繁多，总体来说可分为保守治疗和手术治疗两类，当该疾病如发展较重并有并发症时,常需要进行手术治疗。目前其手术治疗的方法多为腰椎后侧正中入路，切除相应突出的髓核组织，以及给予狭窄椎管进行减压，解除其对脊髓的压迫，解决其并发症，同时为保持腰椎系统的稳定性，需要对稳定性较差的椎体给予椎弓根钉加椎间融合术进行坚强固定，进而避免因手术导致的腰椎退行性变。目前固定方式以双侧椎弓根钉固定为主，并在取出间盘的椎间隙内使用Cage填塞并进行植骨，以

8、加强脊柱稳定性并增加植骨接触面积，进而使相邻椎体相互融合。双侧内固定的使用具有维