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《Journal of Clinical Orthopaedics》 2006-05
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Treatment of lumbar spondylolisthesis with posterior lumbar interbody fusion cage and pedicle screw fixation

WANG Bang-jun,WU Wei-cai,LU Zhao-li,TU Wan-rong(Dept of Orthropaedics,the Affiliated Xiangfan Hospital of Tongji Medical College,Huazhong University of Science and Technology,Xiangfan,Hubei 441021,China)  
Objective To evaluate the clinical effect of lumbar spondylolisthesis treated by posterior decompression,interbody fusion cage and pedicle screws fixation devices.Methods 27 cases were treated with pedicle screw fixation and posterior lumbar interbody fusion cage after decompression.Results The follow-up ranged 12~36 months.All cases achieved bony fusion at final follow-up.Clinical status was evaluated by the recovery rate of Janpanese Orthopedic Association(JOA)score.It was significant different in JOA scores compared with pre-and post-operation(P0.01).There were 2 cases with complications:the dural tear in 1 case,and L_5 nerve root injury in 1.Conclusions It can provide rigid fixation,high rate fusion and excellent clinical effect in the treatment of spodylolisthesis with cage and pedicle screw fixation.Surgery complications can be avoided by improving surgical technique.
【CateGory Index】: R687.3
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