临床骨科杂志2012，Vol.15Issue(6)：630-632,3.
双侧小切口肌间隙入路腰椎椎体间融合治疗下腰椎退行性疾病
Using small incision of dual side and paraspinal approach lumbar interbody fusion for the treatment of lumbar degenerative disease
方志祥 1李坚 1闫亮 1许海波 1赵建峰1
作者信息
- 1. 绍兴第二医院骨科一病区,浙江,绍兴,312000
- 折叠
摘要
Abstract
Objective To study the clinical results of lumbar interbody fusion through small incision of dual side and paraspinal approach in the treatment of lumbar degenerative disease. Methods 32 patients who had lumbar degenerative disease underwent single level decompression and lumbar interbody fusion through small incision of dual side paraspinal approach. The operative time, operative blood loss and improvement of clinical symptoms were assessed, visual analogue scores ( VAS ) was used to evaluate the effect of the operation. Results Operation time was 90 ～ f 50 ( 110 ±21 )min, blood loss in the operation was 150～380( 282 ±37 )ml. Incisions were primary healed. All patients were followed up for 7-14 months, the VAS score of two weeks after the operation and the last followed up had statistically significant difference from the scores of the preoperation ( P < 0. 05 ). All cases had bone union and no screws were loosed or broken in the last followe-up, the rate of bone fusion was 100% . Conclusions The lumbar interbody fusion through the small incision of dual side paraspinal approach is an effective method in the treatment of lumbar degenerative disease, which can reduce the blood loss and injury of the soft tissue, accelerate the rehabilitation simultaneously.关键词
腰椎退行性疾病/脊柱融合术/旁入路Key words
lumbar lumbar degenerative disease/ spinal fusion/ paraspinal approach分类
医药卫生引用本文复制引用
方志祥,李坚,闫亮,许海波,赵建峰..双侧小切口肌间隙入路腰椎椎体间融合治疗下腰椎退行性疾病[J].临床骨科杂志,2012,15(6):630-632,3.
