摘要
目的对比Wallis棘突间动态稳定系统与传统钉棒系统治疗腰椎间盘突出症的疗效及对邻近节段的影响。方法选择2015-01-2016-10行Wallis棘突间动态稳定系统治疗的腰椎间盘突出症患者35例,作为观察组,以同期接受传统钉棒系统治疗的40例患者作为对照组。评价两组手术相关指标并进行组间对比。结果与对照组相比,观察组手术时间和术后住院时间更短、术中出血量更少(P<0.05);两组术后并发症的发生情况无显著差异(P>0.05);末次随访时,观察组下腰痛VAS评分、ODI评分均显著低于对照组(P<0.05);观察组末次随访的手术节段上位邻近节段椎间隙高度显著高于对照组,椎间活动度显著低于对照组,差异有统计学意义(P<0.05)。结论相比传统钉棒系统,Wallis棘突间动态稳定系统治疗腰椎间盘突出症疗效更好,且不会加速邻近节段椎体退变。
Objective To compare the curative effect of Wallis interspinous dynamic stabilization system and traditional screwrod system in the treatment of lumbar disc herniation and the influence on adjacent segments. Methods From January 2015 to October 2016, 35 patients with lumbar intervertebral disc herniation who were treated with Wallis dynamic stabilization system were selected as the observation group. During the same period, 40 patients treated with traditional screw-rod system were selected as the control group. The operation related indicators in the two groups were evaluated and compared. Results Compared with the control group, the observation group had shorter operation time and less postoperative hospital stay, less intraoperative bleeding(P<0.05). There was no significant difference in postoperative complications between the two groups(P>0.05). At the last follow-up, the VAS score and ODI score of the observation group were significantly lower than those of the control group(P <0.05). The height of adjacent intervertebral space of the observation group was significantly higher than that of the control group, and the intervertebral mobility of the observation group was significantly lower than that of the control group(P<0.05). Conclusion Compared with the traditional screwrod system, Wallis interspinous dynamic stabilization system is more effective in the treatment of lumbar disc herniation, without accelerating the adjacent segment degeneration.
作者
陆锡平
张庆祥
王科
闫文千
LU Xi-ping;ZHANG Qing-xiang;WANG Ke;YAN Wen-qian(Department of Orthopaedics,the 148th Central Hospital of PLA,Zibo,Shandong,255300,China)
出处
《颈腰痛杂志》
2019年第1期30-32,共3页
The Journal of Cervicodynia and Lumbodynia
