微创经椎间孔腰椎体间融合术与退变性腰椎疾病。
Minimally invasive transforaminal lumber interbody fusion and degenerative lumbar spine disease.
机构信息
Brisbane Clinical Neuroscience Centre, The Mater Private Hospital Brisbane, Brisbane, QLD, Australia.
出版信息
Eur Spine J. 2012 Nov;21(11):2300-5. doi: 10.1007/s00586-012-2376-y. Epub 2012 Jun 13.
OBJECTIVE
The purpose of this study was to assess the clinical and radiological outcomes of minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) surgery for degenerative lumbar spine disease.
METHODS
A prospective analysis of 34 consecutive patients who underwent a MI-TLIF using image guidance between July 2008 and November 2010. The patient group comprised 19 males and 15 females (mean age 56), 23 of whom had undergone additional reduction of spondylolisthesis. All patients underwent post-operative CT imaging to assess pedicle screw, cage placement and fusion at 6 months. Oswestry disability index (ODI) scores were recorded pre-operatively and at 6-month follow up.
RESULTS
33/34 (97.1%) patients showed evidence of fusion at 6 months with a mean improvement of 27 on ODI scores. The mean length of hospital stay was 4 days. The mean operative time was 173 min. COMPLICATIONS OBSERVED: 1/34 (2.9%) suffered a pulmonary embolism and 1/34 (2.9%) patients developed transient nerve root pain post-operatively. There were no occurrences of infection and no post-operative CSF leaks.
CONCLUSION
MI-TLIF offers patients a safe and effective surgical treatment option to treat degenerative lumbar spine disease.
目的
本研究旨在评估采用影像引导下微创经椎间孔腰椎体间融合术（MI-TLIF）治疗退行性腰椎疾病的临床和影像学结果。
方法
对 2008 年 7 月至 2010 年 11 月期间采用 MI-TLIF 治疗的 34 例连续患者进行前瞻性分析。患者组包括 19 名男性和 15 名女性（平均年龄 56 岁），其中 23 例还进行了腰椎滑脱的附加复位。所有患者均在术后 6 个月行 CT 影像学检查，以评估椎弓根螺钉、椎间融合器的位置和融合情况。记录术前和术后 6 个月的 Oswestry 功能障碍指数（ODI）评分。
结果
34 例患者中有 33 例（97.1%）在术后 6 个月时显示出融合的证据，ODI 评分平均改善了 27 分。平均住院时间为 4 天。平均手术时间为 173 分钟。观察到的并发症：1/34（2.9%）例患者发生肺栓塞，1/34（2.9%）例患者术后出现短暂神经根痛。无感染发生，无术后脑脊液漏。
结论
MI-TLIF 为治疗退行性腰椎疾病的患者提供了一种安全有效的手术治疗选择。
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