摘要
目的：研究通过运用X-STOP棘间撑开器治疗腰椎间盘突出症的临床疗效。方法：选择2008年1月-2011年12月期间,我院采用国产X-STOP棘突间撑开器治疗腰椎间盘突出症患者18例,其中男8例,女10例。观察并记录患者术前、术后6个月及末次随访时腰腿痛情况、手术节段椎间高度变化及椎间盘Pfirrmann评分。结果：平均随访（4.7±1.1）年。随访期间无1例患者复发。术后患者腰腿痛明显缓解,末次随访ODI评分、手术节段椎间高度及椎间盘Pfirrmann评分与术前比较,差异有统计学意义（P〈0.05）;终板夹角术前与末次随访比较,差异无统计学意义（P〉0.05）。结论：X-STOP棘突间撑开器治疗腰椎间盘突出症疗效满意,并且能有效预防病变节段椎间盘的再次退变。
Objective： To evaluate the clinical effects by applying interspinous spacer（ X-STOP） implantation to treatment of herniated intervertebral disc.Methods： A total of 18 cases（ 8 males,10 females） with herniated disk undergone treatment with domestic X-STOP were included from January 2008 to December 2011. The clinical data were retrospectively examined regarding low back pain scores maintained before operation,6 months after operation and final follow-up as well as restoration of intervertebral disc height,lumbar movement range and Pfirrmann grading on MRI. Results： No relapse occurred in all patients in the follow-up periods（ mean 4. 7 ± 1. 1years）. The difference was significant in terms of back pain relief,final scores by Oswestry disability index（ ODI）,restoration of intervertebral disc height and scoring by Pfirrmann grading system as compared with preoperative observations（ P〈0. 05）,yet the vertebral endplate angle measured before operation remained no significance with the findings by final follow-up（ P〉0. 05）. Conclusion： X-STOP interspinous implant can be effective for lumbar intervertebral disc and prevent the diseased disc from re-degeneration.
出处
《皖南医学院学报》
CAS
2015年第3期222-225,共4页
Journal of Wannan Medical College
基金
安徽省教育厅自然科学研究基金重点项目(KJ2013A253)
关键词
棘突间撑开器
腰椎间盘突出症
临床疗效
interspinous spacer
herniated intervertebral disc
clinical effect
