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后路椎间融合联合椎间盘电热凝纤维环成形术治疗两节段腰椎退变性疾病

Posterior Lumbar Interbody Fusion Combined with Intradiscal Electhermal Anuloplasty in Treatment of Double-level Lumbar Degenerative Disease
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摘要 目的通过对比性研究,评价腰椎后路椎体间融合术(PLIF)及PLIF联合腰椎间盘电热凝纤维环成形术(IDETA)治疗两节段腰椎退变性疾病的临床效果。方法对32例两节段腰椎退变性疾病均采用PLIF治疗两节段中较重的节段,根据另一节段是否行IDETA分为单纯组和联合组。采用JOA及VAS评分评价治疗效果。结果术后随访平均18.2个月。术前JOA和VAS评分两组间差异无统计学意义(P>0.05);术后各阶段两组间JOA评分差异无统计学意义(P>0.05),而VAS评分差异有统计学意义(P<0.05)。两组JOA和VAS评分术后不同阶段与术前比较差异有统计学意义(P<0.05)。结论 PLIF联合IDETA治疗两节段腰椎退变性疾病可获得良好的近期临床效果。 Objective To evaluate the clinical outcomes of posterior lumbar interbody fusion (PLIF) combined with intradiscal electher-real anuloplasty (IDETA) in treatment of double-level lumbar spinal degenerative disease.Methods A total of 32 patients with double-level lumbar spinal degenerative disease received operation of PLIF at the harder level.All the cases were divided into two groups: simple group and combined group.Clinical outcomes were determined using JOA score and VAS score.Results All 32 patients were followed up with an average of 18.:2 months.There was no significant difference between two groups in JOA and VAS score before operation. There was no significant difference between two groups in JOA score after operation while VAS score of combined group was higher than that of simple group. Both JOA and VAS score of two groups after operation were higher than that before operation.Conclusion Surgery approach of posterior lumbar interbody fusion combined with intradiscal electhermal anuloplasty for treatment on double-level lumbar degenerative disease has an excellent short-term outcome.
出处 《中国骨与关节损伤杂志》 2011年第3期200-202,共3页 Chinese Journal of Bone and Joint Injury
关键词 腰椎退变性疾病 脊柱融合术 椎弓根内固定 椎间盘电热凝纤维环成形术 Lumbar degenerative disease Spinal fusion Pedicle screw fixation Intradiscal electhermal anuloplasty
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