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K-Rod 动态稳定系统与腰椎融合在多节段腰椎退变中的近期疗效比较

谢雁春 刘军

局解手术学杂志2016,Vol.25Issue(6):401-404,405,5.
局解手术学杂志2016,Vol.25Issue(6):401-404,405,5.DOI:10.11659/jjssx.06E015012

K-Rod 动态稳定系统与腰椎融合在多节段腰椎退变中的近期疗效比较

Comparison of short-term clinical effect of K-Rod pedicle dynamic fixation system and lumbar fusion for multi-ple segmental lumbar degeneration

谢雁春 1刘军1

作者信息

  • 1. 沈阳军区总医院骨科,辽宁 沈阳 110000
  • 折叠

摘要

Abstract

Objective To compare the short-term clinical effect of K-Rod pedicle dynamic fixation system and lumbar fusion for multi-ple segmental lumbar degeneration.Methods Between January 2010 and October 2012,56 patients with segmental lumbar degeneration who were accepted K-Rod pedicle dynamic fixation system and posterior lumbar interbody fusion were retrospectively reviewed.The 56 patients were divided into K-Rod and fusion group,28 patients with K-Rod pedicle dynamic fixation system and 28 cases with traditional lumbar fusion and internal fixation.Clinical assessments were based on comparion of Oswestry disability index score ,visual analogous scale (VAS),im-provement rate of low back pain,postoperative lumbar spine X-ray,average operation time and intraoperative blood loss of two groups.Results All of 56 cases were followed up for 12 to 24 months,the difference of Oswestry disability index score and VAS between two groups were not statistically significant(P >0.05),but the difference of average operation time,blood loss and the average length of stay(ALOS)were statis-tically significant(P <0.05),the K-Rod group was superior to the fusion group.Conclusion In the treatment of multiple segmental lumbar degeneration both K-Rod pedicle dynamic fixation system and traditional lumbar fusion can obtain satisfactory short-term clinical effect,but the K-Rod pedicle dynamic fixation system has advantages of less intraoperative blood loss,shorter operation time,postoperative small effects on lumbar spine mobility.

关键词

腰椎融合/腰椎退行性疾病/K-Rod 椎弓根动态固定稳定系统/多节段

Key words

lumbar fusion/lumbar degenerative disease/K-Rod pedicle dynamic fixation system/multiple segmental

分类

医药卫生

引用本文复制引用

谢雁春,刘军..K-Rod 动态稳定系统与腰椎融合在多节段腰椎退变中的近期疗效比较[J].局解手术学杂志,2016,25(6):401-404,405,5.

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