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单侧单枚椎间融合器联合局部碎骨块植骨在退变性腰椎疾病中的应用

Posterior lumbar interbody fusion using a unilateral single cage and a local morselized bone graft in the degenerative lumbar spine.

机构信息

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine, Jinju, Korea.

出版信息

Clin Orthop Surg. 2009 Dec;1(4):214-21. doi: 10.4055/cios.2009.1.4.214. Epub 2009 Nov 25.

DOI:10.4055/cios.2009.1.4.214
PMID:19956479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2784962/
Abstract

BACKGROUND

We retrospectively evaluated the clinical and radiological outcomes of posterior lumbar interbody fusion (PLIF) with using a unilateral single cage and a local morselized bone graft.

METHODS

Fifty three patients who underwent PLIF with a unilateral single cage filled with local morselized bone graft were enrolled in this study. The average follow-up duration was 31.1 months. The clinical outcomes were evaluated with using the visual analogue scale (VAS) at the pre-operative period, at 1 year post-operation and at the last follow-up, the Oswestry Disability Index, the Prolo scale and the Kim & Kim criteria at the last follow-up; the radiological outcomes were evaluated according to the change of bone bridging, the radiolucency, the instability and the disc height.

RESULTS

For the clinical evaluation, the VAS pain index, the Oswestry Disability Index, the Prolo scale and the Kim & Kim criteria showed excellent outcomes. For the the radiological evaluation, 52 cases showed complete bone union at the last follow-up. Regarding the complications, only 1 patient had cage breakage during follow-up.

CONCLUSIONS

PLIF using a unilateral single cage filled with a local morselized bone graft has the advantages of a shorter operation time, less blood loss and a shorter hospital stay, as compared with the PLIF using bilateral cages, for treating degenerative lumbar spine disease. This technique also provides excellent outcomes according to the clinical and radiological evaluation.

摘要

背景

我们回顾性评估了单侧单笼联合局部碎骨植骨行后路腰椎间融合术（PLIF）的临床和影像学结果。

方法

本研究纳入了 53 例行单侧单笼联合局部碎骨植骨 PLIF 的患者。平均随访时间为 31.1 个月。采用视觉模拟评分（VAS）评估术前、术后 1 年及末次随访时的临床疗效，采用 Oswestry 功能障碍指数（ODI）、Prolo 评分和 Kim & Kim 标准评估末次随访时的临床疗效；采用骨桥形成、透亮带、不稳定和椎间盘高度的变化评估影像学结果。

结果

临床评估中，VAS 疼痛指数、ODI、Prolo 评分和 Kim & Kim 标准均显示出良好的结果。影像学评估中，52 例患者在末次随访时均达到完全骨融合。关于并发症，只有 1 例患者在随访过程中出现了 cage 断裂。

结论

与双侧 cage 相比，单侧单笼联合局部碎骨植骨行 PLIF 治疗退变性腰椎疾病具有手术时间更短、出血量更少、住院时间更短的优点。根据临床和影像学评估，该技术也能取得良好的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/aeecdb11de5d/cios-1-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/5519dc47ab03/cios-1-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/a4b9f93a55bc/cios-1-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/6e593a6b9a64/cios-1-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/acffe061a88a/cios-1-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/aeecdb11de5d/cios-1-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/5519dc47ab03/cios-1-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/a4b9f93a55bc/cios-1-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/6e593a6b9a64/cios-1-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/acffe061a88a/cios-1-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f2/2784962/aeecdb11de5d/cios-1-214-g005.jpg

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