实用医学杂志2013，Vol.29Issue(2)：227-230,4.DOI:10.3969/j.issn.1006-5725.2013.02.024
微创经椎间孔椎体间融合术治疗腰椎间盘突出症伴腰椎不稳
Clinical outcome of mini-open transforaminal lumbar interbody fusion to treat lumbar disc protrusion with instability of lumbar vertebrae
高益 1王斌 1彭立波 1蒋涛 1沈鹏飞 1瞿玉兴1
作者信息
摘要
Abstract
Objective To investigate the clinical efficacy of mini-open transforaminal lumbar interbody fusion (Mini-TLIF) assisted by Mast Quadrant and Sextant system to treat lumbar disc protrusion with instability of lumbar vertebrae,in comparison with the traditional open-TLIF. Methods From January 2011 to October 2011 , 43 patients with lumbar disc protrusion and instability of lumbar vertebrae were enrolled, 19 patients received Mini-TLIF that assisted by Mast Quadrant and Sextant system, and 24 patients received traditional open-TLIF. Hemorrhage amount, VAS score, JOA score, lumbar lordosis angle and range of movement were calculated. Results All patients were followed up for an average of 8.9 months (range from 5 to 12 months), Mini-TLIF group got hemorrhage amount at an average of 177 mL ( range from 50 to 380 mL), and open-TLIF group got 706 mL (range from 400 to 1 240 mL) (P < 0.001). VAS score of lumbar pain decreased significantly in both two groups (P < 0.001) , especially in the group of Mini-TLIF. VAS score of leg pain decreased significantly in both two groups (P < 0.001), with no significant difference between these two groups. There was no difference in JOA scores was found between these two groups at final follow-up. Better Lumbar lordosis angle and range of movement were shown in the Mini-TLIF group at final follow-up (P < 0.05). Conclusion Mini-TLIF that assisted by Mast Quadrant and Sextant system has less injury, , less hemorrhage amount, less pain and better Lumbar lordosis angle and range of movement in the treatment of lumbar disc protrusion with instability of lumbar vertebrae.关键词
微创/经椎间孔椎体间融合术/腰椎间盘突出症/腰椎不稳Key words
Minimally invasive/ Transforaminal lumbar interbody fusion/ Lumbar disc protrusion/ Instability of lumbar vertebrae引用本文复制引用
高益,王斌,彭立波,蒋涛,沈鹏飞,瞿玉兴..微创经椎间孔椎体间融合术治疗腰椎间盘突出症伴腰椎不稳[J].实用医学杂志,2013,29(2):227-230,4.
