摘要
Abstract
Objective To investigate the clinical effect of M-TLIF and W-TLIF in the treatment of single segment lumbar degenerative disease.Methods From June 2012 to June 2013,61 patients with single segment lumbar degenerative lumbar spine were treated as the research objects,which were divided into M-TLIF group (28 cases) and W-TLIF group (33 cases),the clinical efficacy,interbody fusion rate and complications were compared.Results Difference of two groups in operation time were not significantly different (P>0.05),but the length of incision of the M-TLIF group was significantly shorter[(5.0±0.8)cm],the amount of bleeding was significantly less[(89.3±11.2)mL],the number of X-ray(47±10) and operation cost[(6.6±1.1)thousand-yuan] were significantly higher than that in W-TLIF group (P<0.05).Scores of VAS and VAS of followed up were better than W-TLIF group,the differences of other scores were not statistically significant between the two groups (P>0.05).The fusion rates of two groups were 84.9% and 85.7%,the difference was not statistically significant (P>0.05).Conclusion Both M-TLIF and W-TLIF are effective methods for treatment of lumbar degenerative disease,but the length of M-TLIF is shorter,the amount of bleeding is less,and the degree of backache is improved,but the number of W-TLIF is less,and the cost is relatively lower.关键词
腰椎退行性疾病/微创经椎间孔椎间融合内固定/Wiltse入路径椎间孔融合内固定/临床效果Key words
lumbar degenerative disease/M-TLIF/W-TLIF/clinical effect
