后路腰椎椎间融合术并发神经损伤的原因分析

被引:13
作者
郭龙
陈建
田进财
机构
[1] 宁夏银川国龙医院脊柱外科
关键词
腰椎; 后路椎间融合术; 神经损伤; 并发症;
D O I
暂无
中图分类号
R687.3 [骨骼手术];
学科分类号
100220 [骨科学];
摘要
目的:分析后路腰椎椎间融合术并发神经损伤的原因。方法:2003年3月~2008年5月采用后路腰椎椎间融合术(PLIF)治疗腰椎疾病患者178例,其中腰椎间盘突出症42例,腰椎管狭窄症39例,退变性腰椎滑脱症61例,峡部裂性腰椎滑脱症22例,腰椎椎板/椎间盘切除术后综合征14例;单节段融合130例,其中L3/48例,L4/564例,L5/S158例,双节段融合46例,其中L3/4、L4/519例,L4/5、L5/S127例,三节段融合2例,均为L3/4、L4/5、L5/S1,对其发生神经损伤的原因进行分析。结果:共并发神经损伤13例(7.3%),其中L41例,L57例,S15例;神经根牵拉伤6例,器械损伤3例,误伤变异神经根1例,硬膜外血肿致神经根受压1例,椎弓根骨折致神经根受压1例,继发性侧隐窝狭窄致神经根受压1例;完全性损伤2例,不完全性损伤11例。根据ASIA评分标准,神经功能完全恢复7例,部分恢复4例,无恢复2例。结论:后路腰椎椎间融合术并发神经损伤的原因是多方面的,以神经根的牵拉伤最多见。
引用
收藏
页码:912 / 915
页数:4
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