腰椎前路椎间融合术的长期随访

Long-term follow-up of the anterior lumbar interbody fusion procedure.

作者信息

Verbruggen Dimitri, Tampere Thomas, Uyttendaele Dirk, Sys Gwen, Poffyn Bart

出版信息

Acta Orthop Belg. 2015 Sep;81(3):546-52.

PMID:26435252

Abstract

PURPOSE

To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure.

METHODS

Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years. Clinically, patients were evaluated at a mean follow-up of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire.

RESULTS

Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (±2.15) ; in the long term, the mean VAS-score was 4.95 (±2.95), which was a significant improvement. (p<0.01). The postoperative ODI-score was 36.11 (±22.32), while the preoperative ODI-score was 59.31 (±17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed.

CONCLUSIONS

The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed.

摘要

目的

评估腰椎前路椎间融合术的长期临床疗效及有效性。

方法

1999年至2005年期间，对59例患者实施了60例腰椎前路椎间融合术。平均年龄为41.1岁。临床上，采用视觉模拟评分量表、奥斯维斯特功能障碍评分和SF-36问卷，对患者进行平均9.5年的随访评估。

结果

可获得38例患者术前和术后的临床评估分数。19例患者失访，2例患者在随访期间死亡。融合率为84%。术前背痛的平均视觉模拟评分为6.69（±2.15）；长期来看，平均视觉模拟评分为4.95（±2.95），有显著改善（p<0.01）。术后奥斯维斯特功能障碍指数评分为36.11（±22.32），术前为59.31（±17.16），显示有显著改善。根据SF-36问卷，观察到轻度至良好的结果。