局解手术学杂志Issue(5)：513-515,516,4.DOI:10.11659/jjssx.07E015102
PEEK棒与钛棒在椎弓根螺钉内固定治疗腰椎退行性疾病中的疗效研究
Application of polyetheretherketone cages and titanium cages combined with pedicle screw fixation operation in lumbar degenerative disease
摘要
Abstract
Objective To explore the clinical efficacy of polyetheretherketone( PEEK) cages and titanium cages combined with pedicle screw fixation operation in treatment of lumbar degenerative disease,and provide reference for clinic. Methods The data of 50 patients with lumbar degenerative disease in our hospital from March 2011 to March 2013 were retrospectively analyzed. All patients were treated with pos-terior decompression,bone graft and transpedicular screw internal fixation,according to the different cages,they were divided into PEEK group and titanium group. The PEEK group with 25 patients used polyetheretherketone cages,and the titanium group with 25 patients used titanium cages. The JOA scores of patient before surgery,1 month,6 months and 1 year after surgery between two groups were recorded and compared. The ROM of fusion levels and adjacent segment of patients before and after operation between two groups were compared. Results There was no statistical significance of difference in JOA score,Oswestry score and fusion rate between two groups(P>0. 05). There were statistical significance of differences intervertebral disc height change between 2 groups(P<0. 05). The ROM of fusion levels and adjacent segment of patients in PEEK group was better than those in titanium group(P<0. 05). Conclusion The polyetheretherketone cages combined with pedicle screw fixation operation have a good effect in the treatment of patients with lumbar degenerative disease,especially in matter of lumbar spinal motion and intervertebral height lost.关键词
PEEK棒/钛棒/椎弓根螺钉固定术/腰椎退行性疾病/植骨融合率Key words
polyetheretherketone cages/titanium cages/pedicle screw fixation/lumbar degenerative disease/bone graft fusion rate分类
医药卫生引用本文复制引用
李发祥,崔钢化,李江华,申晓坤,李小磊,李刚,王维山,史晨辉..PEEK棒与钛棒在椎弓根螺钉内固定治疗腰椎退行性疾病中的疗效研究[J].局解手术学杂志,2015,(5):513-515,516,4.基金项目
国家自然科学基金(81160225) （81160225）
新疆兵团医药卫生专项资助(2013BA020) （2013BA020）
兵团国际交流与合作专项资助(2012BC002) （2012BC002）
兵团科技创新团队专项基金(2014CC002) （2014CC002）
