Zhou Dong, Nong Lu-Ming, DU Rui, Gao Gong-Ming, Jiang Yu-Qing, Xu Nan-Wei
Department of Orthopaedics, Changzhou No. 2 Hospital, Jiangshu, P.R. China.
Exp Ther Med. 2013 Mar;5(3):952-956. doi: 10.3892/etm.2013.894. Epub 2013 Jan 15.
The present study aimed to evaluate the early effects of interspinous spacers on lumbar degenerative disease. The clinical outcomes of 23 patients with lumbar degenerative disease, treated using interspinous spacer implantation alone or combined with posterior lumbar fusion, were retrospectively studied and assessed with a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Pre-operative and post-operative interspinous distance, disc space height, foraminal width and height and segmental lordosis were determined. The early effects and complications associated with the interspinous spacers were recorded. The surgical procedures performed with the in-space treatment were easy and minimally invasive. The VAS scores and ODI were improved post-operatively compared with pre-operatively. Significant changes in the interspinous distance, disc space height, foraminal width and height and segmental lordosis were noted. In-space treatment for degenerative lumbar disease is easy and safe, with good early effects. The in-space system provides an alternative treatment for lumbar degenerative disease.
本研究旨在评估棘突间撑开器对腰椎退行性疾病的早期疗效。回顾性研究并采用视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)对23例仅采用棘突间撑开器植入或联合腰椎后路融合术治疗的腰椎退行性疾病患者的临床疗效进行评估。测定术前和术后的棘突间距离、椎间盘间隙高度、椎间孔宽度和高度以及节段性前凸。记录与棘突间撑开器相关的早期疗效和并发症。采用棘突间撑开器治疗的手术操作简便且微创。与术前相比,术后VAS评分和ODI均有所改善。棘突间距离、椎间盘间隙高度、椎间孔宽度和高度以及节段性前凸有显著变化。棘突间撑开器治疗退行性腰椎疾病简便、安全,早期疗效良好。棘突间撑开器系统为腰椎退行性疾病提供了一种替代治疗方法。