中国现代手术学杂志2019，Vol.23Issue(1)：45-49,5.DOI:10.16260/j.cnki.1009-2188.2019.01.010
Wallis棘突间动态稳定系统治疗腰椎管狭窄患者的疗效
Wallis Interspinous Dynamic Stabilization System for the Treatment of Lumbar Spinal Stenosis
摘要
Abstract
Objective To explore the effect of Wallis interspinous dynamic stabilization system in the treatment of elderly lumbar spinal stenosis and its effect on postoperative function. Methods A total of 104 patients with lumbar spinal stenosis who underwent surgery in our hospital from January 2014 to March 2016 were enrolled. According to the random number table, there were 52 cases in Wallis group underwent Wallis interspinous dynamic stabilization system fixation, and 52 cases in the fusion group treated with lumbar decompression and internal fixation. The neurological function score (JOA), visual pain score(VAS) and Oswestry dysfunction index (ODI) were studied. Before and after surgery, the intervertebral space height (ISH), the disc height (DH), and the range of motion (ROM) were recorded. The cerebrospinal fluid leakage and stubbornness were recorded in the two groups. Complications such as low back pain and vertebral spondylolisthesis were studied as well. Results In both groups, it showed that JOA, VAS and ODI scores improved 12 months after operation (P＜0.05). JOA scores in Wallis group were higher than that of the fusion group, but VAS and ODI scores were lower(P＜0.05). There were no significant changes of ISH, DH and ROM in Wallis group 12 months after operation (P＞0.05). In the fusion group, ISH and DH were significantly decreased and ROM was significantly increased after operation (P＞0.05). 12 months after operation, it showed significantly differences between the two groups, with higher ISH and DH, and lower ROM in Wallis group (P＞0.05). During 12 months of follow-up, the incidence of complications was 7.69％ (4 /52) in Wallis group and 26.92％ (14 /52) in the fusion group (P＜0.05). Conclusion Compared with traditional lumbar decompression and fusion, Wallis interspinous dynamic stabilization system can effectively improve the neurological function and clinical symptoms with less complications, which is worthy of clinical promotion.关键词
Wallis内固定/腰椎减压融合术/腰椎管狭窄/功能障碍Key words
Wallis interspinous dynamic stabilization system/lumbar decompression and fusion/lumbar spinal stenosis/dysfunction分类
医药卫生引用本文复制引用
孙英飞,张启栋,石东平,李中实..Wallis棘突间动态稳定系统治疗腰椎管狭窄患者的疗效[J].中国现代手术学杂志,2019,23(1):45-49,5.基金项目
国家自然科学基金资助项目(81703896) （81703896）
