基于指征使用不同刚度的经椎弓根器械进行腰椎融合术的评估：一项为期3年随访的前瞻性初步研究。
Evaluation of indication-based use of transpedicular instrumentations with different rigidity for lumbar spinal fusion: a prospective pilot study with 3 years of follow-up.
作者信息
Pfeiffer Michael, Hildebrand Ralph, Grande Michael, Griss Peter
机构信息
HELIOS Rosmann Klinik, Zeppelinstrasse 37, 79206, Breisach, Germany.
出版信息
Eur Spine J. 2003 Aug;12(4):369-77. doi: 10.1007/s00586-002-0510-y. Epub 2003 Feb 11.
Abstract
In a prospective cohort study in 94 patients with 3 years' follow-up the efficacy of rigid and semi-rigid transpedicular instrumentation for lumbar spine fusion was evaluated via three established scores. Patient groups were similar in respect of anthropometric data. The indication for using the semi-rigid technique was a fairly stable intraoperative situation; for the more common unstable situations, the rigid technique was chosen. Selecting implant rigidity on these criteria led to results with an improvement rate well within the upper success range reported in the literature. Among people in employment, a lengthy preoperative sick leave was an important predictor for unsatisfactory outcome.
摘要
在一项对94例患者进行了3年随访的前瞻性队列研究中，通过三种既定评分评估了用于腰椎融合的刚性和半刚性经椎弓根器械的疗效。患者组在人体测量数据方面相似。使用半刚性技术的指征是术中情况相当稳定；对于更常见的不稳定情况，则选择刚性技术。根据这些标准选择植入物的刚性，其结果的改善率完全在文献报道的较高成功范围内。在就业人群中，术前长时间病假是预后不佳的重要预测因素。
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本文引用的文献
1
Unilateral versus bilateral pedicle screw fixation in lumbar spinal fusion.腰椎融合术中单侧与双侧椎弓根螺钉固定
Spine (Phila Pa 1976). 2000 Jul 15;25(14):1843-7. doi: 10.1097/00007632-200007150-00017.
2
Clinical outcome after spinal fusion with a rigid versus a semi-rigid pedicle screw system.使用刚性与半刚性椎弓根螺钉系统进行脊柱融合后的临床结果。
Eur Spine J. 1997;6(6):412-6. doi: 10.1007/BF01834071.
3
A protocol to evaluate semi-rigid pedicle screw systems.一项评估半刚性椎弓根螺钉系统的方案。
J Biomech Eng. 1997 Aug;119(3):364-6. doi: 10.1115/1.2796102.
4
Standardized evaluation of long-term results after anterior lumbar interbody fusion.腰椎前路椎间融合术后长期疗效的标准化评估
Eur Spine J. 1996;5(5):299-307. doi: 10.1007/BF00304344.
5
Semirigid instrumentation in the management of lumbar spinal conditions combined with circumferential fusion. A multicenter study.半刚性器械在腰椎疾病治疗中联合环形融合的应用。一项多中心研究。
Spine (Phila Pa 1976). 1996 Aug 15;21(16):1918-25; discussion 1925-6. doi: 10.1097/00007632-199608150-00018.
6
Kinematics of the lumbar spine following pedicle screw plate fixation.椎弓根螺钉钢板固定后腰椎的运动学
Spine (Phila Pa 1976). 1993 Mar 15;18(4):504-12.
7
Meta-analysis of the results of lumbar spine fusion.腰椎融合术结果的荟萃分析。
Acta Orthop Scand Suppl. 1993;251:120-2. doi: 10.3109/17453679309160140.
8
The effect of a stiff spinal implant and its loosening on bone mineral content in canines.硬质脊柱植入物及其松动对犬类骨矿物质含量的影响。
Spine (Phila Pa 1976). 1993 Oct 1;18(13):1862-6. doi: 10.1097/00007632-199310000-00023.
9
Longitudinal element size effect on load sharing, internal loads, and fatigue life of tri-level spinal implant constructs.纵向单元尺寸对三层脊柱植入物结构的载荷分担、内部载荷及疲劳寿命的影响
Spine (Phila Pa 1976). 1993 Sep 15;18(12):1695-703. doi: 10.1097/00007632-199309000-00019.
10
Chronic low back pain: The relationship between patient satisfaction and pain, impairment, and disability outcomes.慢性下腰痛：患者满意度与疼痛、功能障碍及残疾结局之间的关系。
Spine (Phila Pa 1976). 1994 Apr 15;19(8):881-7.
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