临床骨科杂志Issue(4)：377-380,4.DOI:10.3969/j.issn.1008-0287.2014.04.006
单侧椎弓根固定经椎间孔椎体间融合术治疗下腰椎退行性疾病
Unilateral instrumented transforaminal lumbar interbody fusion in low lumbar degenerative diseases
贾其余 1俞宇 1王林 1郭万根 1胡联英 1程晓东1
作者信息
- 1. 合肥市第二人民医院骨科，安徽 合肥 230011
- 折叠
摘要
Abstract
Objective To investigate the effect of unilateral instrumented transforaminal lumbar interbody fusion ( TLIF) in the treatment of low lumbar degenerative diseases. Methods 41 patients with low lumbar degenerative diseases in single segment were treated with unilateral pedicle screw fixation TLIF. Operative time, intraoperative blood loss and complications were observed. The visual analogue scale ( VAS ) and the Oswestry disability index ( ODI) were used to evaluate clinical effect, and radiographic parameters were used to evaluate the fusion rates. Re-sults All cases were followed up for 24~59(38 ±6)months. The operative time was 80~180(125 ±10)min, the intraoperative blood loss was 100~550(310 ± 30) ml. All incisions healed by first intention. The lumbar pain VAS scores dropped from 6. 5 ± 2. 1 preoperatively to 2. 3 ± 0. 9 at final followed-up (P <0. 01), the limb pain VAS scoresdroppedfrom7.6±2.3preoperativelyto1.2±0.8atfinalfollowed-up(P<0.01),theODIdroppedfrom 54. 2 ± 10. 9 preoperatively to 13. 8 ± 2. 1 at final followed-up ( P<0. 01 ) . The spine fusion rate was 95% at final followed-up. No loosening, breakage of instrumentation and displacement of cage were observed during followed-up. Conclusions Unilateral instrumented TLIF is acceptable for low lumbar degenerative diseases, the effect is reliable. This method have advantages as minimal invasiveness, less operation time, less bloos loss, and less complications.关键词
腰椎退行性疾病/经椎间孔椎体间融合术/脊柱融合术Key words
lumbar degenerative diseases/transforaminal lumbar interbody fusion/spinal fusion分类
医药卫生引用本文复制引用
贾其余,俞宇,王林,郭万根,胡联英,程晓东..单侧椎弓根固定经椎间孔椎体间融合术治疗下腰椎退行性疾病[J].临床骨科杂志,2014,(4):377-380,4.
