中国组织工程研究Issue(40)：6476-6481,6.DOI:10.3969/j.issn.2095-4344.2014.40.014
腰椎动态植入物内固定系统治疗腰椎间盘突出症的早期疗效
Early effect of lumbar dynamic fixation for treatment of lumbar disc herniation
明江华 1赵奇 1杨斌 2郑慧锋1
作者信息
- 1. 武汉大学人民医院骨科，湖北省武汉市 430060
- 2. 阳新县人民医院，湖北省阳新县 435200
- 折叠
摘要
Abstract
BACKGROUND:Currently, one of common methods is discectomy, nerve root decompression and fusion rigid fixation from the midline approach for disc herniation which is inefficient by conservative treatments. Thus, it is causing degeneration and limiting lumbar physiological activity of adjacent segments. The treatment of non-fusion lumbar disc herniation with the traditional posterior midline incision approach has some disadvantages such as big incision, wide peeling, and back muscle denervation. <br> OBJECTIVE:To observe therapeutic effects of dynamic stabilization system through Wiltse approach on lumbar disc herniation, and to compare the outcomes with traditional posterior approach. <br> METHODA total of 46 patients, who had undergone discectomy and internal fixation using dynamic stabilization systems for lumbar disc herniation at the Renmin Hospital of Wuhan University from January 2011 to January 2013, were enrol ed in this study. The operation was performed through the traditional posterior approach in 25 patients and Wiltse approach in 21 patients. <br> RESULTS AND CONCLUSION:Al 46 patients were fol owed up for 7 to 31 months (averagely, 13.8±2.4 months). The length of incision, intraoperative blood loss, and postoperative drainage amount were less in the Wiltse approach group than in the traditional posterior approach group (P<0.05). No significant difference in visual analog scale scores and operative time was detected between the two groups at 1 week and 6 months after fixation (P>0.05). Radiographs revealed that the position of implants was good in al patients, no loosing or breakage. These data verified that the early effect of dynamic stabilization system through Wiltse approach for lumbar disc herniation is similar to that of traditional posterior approach.关键词
植入物/脊柱植入物/动态稳定系统/腰椎间盘突出症/刚性稳定系统/手术入路/传统入路/Wiltse入路/椎间盘切除/早期疗效Key words
intervertebral disk displacement/diskectomy/internal fixators/intervertebral disk degeneration分类
医药卫生引用本文复制引用
明江华,赵奇,杨斌,郑慧锋..腰椎动态植入物内固定系统治疗腰椎间盘突出症的早期疗效[J].中国组织工程研究,2014,(40):6476-6481,6.
