[PLIF和ALIF治疗腰椎退行性椎体滑脱]。

J Lemcke, S Klötzer, R Klötzer, U Meier
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引用次数: 3

摘要

目的:本研究的目的是比较PLIF或ALIF后腰椎退行性不稳定患者的病程。材料和方法:1995年10月至2000年1月期间,柏林Unfallkrankenhaus医院神经外科和柏林Friedrichshain医院神经外科共有115名患者因退行性不稳定而接受了腹侧或背侧椎管置换术。术后平均25(13-64)个月对患者进行临床检查和疼痛感及生活质量问卷调查。结果:两组患者术后均有明显改善。回收率为52%,效果良好。融合率为91%。术后疼痛感在视觉疼痛量表上下降。镇痛药的摄入量在数量上和质量上都有所减少。手术的满意率为94%,是比较高的。与文献报道相比,并发症发生率较低(4%)。没有手术致命性。结论:关于适应症和禁忌症,PLIF和ALIF被毫无疑问地接受为一种最新的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[PLIF and ALIF for the degenerative spondylolisthesis of the lumbar spine].

Aim: The aim of this study is to compare the course of disease of patients with a degenerative instability of the lumbar spine after PLIF or ALIF.

Materials and methods: Between October 1995 and January 2000 115 patients underwent a ventral or dorsal spondylodesis due to a degenerative instability in the Department of Neurosurgery of the Unfallkrankenhaus Berlin Hospital and in the Department of Neurosurgery of the Friedrichshain Hospital in Berlin. At an average of 25 (13-64) months after surgery these patients were followed up in a clinical examination and a questionnaire concerning their sense of pain and quality of life.

Results: Significant improvement after surgery has been shown in both groups. The recovery rate was 52 % which is a beneficial result. The fusion rate was 91 %. The postoperative sense of pain declined with regard to the visual pain scale. The intake of analgetics decreased in a quantitative as well as in a qualitative way. With 94 % the acceptance of the operation was comparatively high. The number of complications was low in comparison with the literature (4 %). There was no operative lethality.

Conclusions: With regard to the indications and contraindications the PLIF as well as the ALIF is accepted unquestioningly as an up-to-date method.

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