郑州大学学报（医学版）2025，Vol.60Issue(2)：229-233,5.DOI:10.13705/j.issn.1671-6825.2023.08.005
Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症43例
Bilateral decompression and fusion with internal fixation via unilateral transforaminal approach under Quadrant system for lumbar disc herniation
摘要
Abstract
Aim:To investigate the clinical effect of bilateral decompression and fusion with internal fixation via unilat-eral transforaminal approach under Quadrant system for lumbar disc herniation.Methods:Clinical data of 43 patients with lumbar disc herniation admitted in Henan Provincial People's Hospital from July 2014 to January 2021 were retrospectively analyzed.All the patients were treated with bilateral decompression and fusion with internal fixation via unilateral transfo-raminal approach under Quadrant system.The clinical outcomes were evaluated using the visual analogue scale(VAS),Jap-anese orthopaedic association(JOA)score for the lumbar spine,the modified Oswestry disability index(ODI),and the Pfir-rmann grading system before surgery,3 months after surgery,and at the last follow-up.Lumbar anterolateral and dynamic ra-diographs and/or CT scans were used to evaluate the range of motion of the adjacent vertebra and interbody fusion,and the incidence of intraoperative and postoperative complications were recorded.Results:The follow-up time was(47.3±9.1)months.Before surgery,3 months after surgery,and at the last follow-up,the VAS score gradually decreased(7.3±0.9,3.8±0.7,0.7±0.6),the JOA score gradually increased(9.6±1.3,22.6±2.3,26.9±8.1),and the ODI gradually decreased(66.4±4.7,22.3±1.4,9.8±1.0)(P＜0.05).At the last follow-up,there was no significant difference in the Pfirrmann grade of adjacent segment intervertebral disc degeneration compared with that before surgery(P＞0.05).There was no sig-nificant difference in the height of the intervertebral space or intervertebral mobility of the adjacent segments(P＞0.05).During the follow-up,there were no complications such as loosening of internal fixation and adjacent vertebral disease.Conclusion:The treatment of lumbar disc herniation by unilateral approach of Quadrant system through foraminal with bilat-eral decompression and internal fixation has exact clinical efficacy,minimal paravertebral soft tissue destruction and effective maintenance of vertebral body sequence stability.关键词
腰椎间盘突出症/微创手术/Quadrant通道辅助技术/单侧入路双侧减压Key words
lumbar disc herniation/minimally invasive surgery/Quadrant system assistive technology/unilateral ap-proach bilateral decompression分类
医药卫生引用本文复制引用
邢帅,鹿文博,李志斌,郑谊,安占天,张锴,高延征,王红强,施新革..Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症43例[J].郑州大学学报（医学版）,2025,60(2):229-233,5.基金项目
河南省医学科技攻关项目(LHGJ20220034) （LHGJ20220034）
河南省医学科技攻关计划项目(SB201901085) （SB201901085）
