Clinical observation on the effect posterior approach of internal fixation with pedicle screws combine with interbody fusion cage in the treatment of senile lumbar disc herniation and lumbar spinal stenosis
10.7619/jcmp.201409021
- VernacularTitle:后路椎弓根螺钉内固定联合椎间融合器治疗老年腰椎间盘突出并椎管狭窄的临床观察
- Author:
Xinxing GAO
1
;
Xongzhi LIU
;
Jie QI
;
Baoquan GAO
;
Haijun LIU
Author Information
1. 陕西省人民医院 骨一科
- Keywords:
lumbar disc herniation;
lumbar spinal stenosis;
internal fixation with pedicle screws;
interbody fusion cage;
senile;
posterior approach
- From:
Journal of Clinical Medicine in Practice
2014;(9):76-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of the posterior approach of internal fixation with pedicle screws combined with interbody fusion cage for senile lumbar disc herniation(LDH)and lumbar spinal stenosis(LSS).Methods From 2009 to 2012,clinical material of 52 senile patients with LDH and LSS were analyzed retrospectively.Results 52 patients took out the suture after two weeks,postoperative incision were primary healing and there was no infection and complications such as nerve accidental injury.All the patients were all followed up,the average follow-up period was 2.2 years (range:9~36 months).There were 29 patients with excellent score,17 with good score and 6 with fair score according to Macnab score system,the total successful rate(excellent rate and good rate )added up to 88.46%.Conclusion Posterior approach of internal fixation with pedi-cle screws combined with interbody fusion cage for senile patients with LDH and LSS guarantees the complete decompression for diseased region and maintains spinal stability and intervertebral height to get significant treatment effect.
