Objective. We present a case of lumbar Charcot arthropathy successfully treated surgically using posterior 3-column resection, spinal shortening, and fusion.

目的：我们行后路脊柱3柱切除、短缩、融合术成功地治疗了一例腰椎夏柯氏骨关节炎患者。

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To investigate diagnosis of lumbar instability, segment of spinal canal decompression and principle of fixation and fusion.

探讨退变性腰椎不稳的诊断、椎管手术减压范围及固定融合原则。

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Conclusion Posterior spinal fusion is an effective operation treating degenerative lumbar instability, internal fixation can enhance the rate of spinal fusion and improve symptoms of patients.

结论后路脊柱融合术是目前治疗腰椎退行性不稳症疗效确切的方法之一，内固定可显著提高融合率，缓解患者症状。

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