Giorgi H, Prebet R, Andriantsimiavona R, Tropiano P, Blondel B, Parent H F
Hôpital Saint-Joseph, 26 bd de Louvain, 13008, Marseille, France.
Clinique Saint-Léonard, 18 Rue de Bellinière, 49800, Trélazé, France.
Eur Spine J. 2018 Aug;27(8):1933-1939. doi: 10.1007/s00586-017-5452-5. Epub 2018 Jan 10.
To assess clinical and radiological outcomes at 2-year follow-up of one-level minimally invasive transforaminal interbody fusion with unilateral pedicle screw fixation (UNILIF) in the treatment of stable lumbar degenerative diseases.
From January 1, 2012 to January 31, 2013, we prospectively collected clinical and radiological data on patients with stable degenerative lumbar disease managed by UNILIF in a single institution. Preoperatively and at 2 years, we recorded ODI, SF-12, Quebec and VAS. Interbody fusion was analyzed on radiography and on a CT scan, and sagittal balance was tested on full spine radiography.
Mean operation time was 74.5 min ± 16.8, mean blood loss was 130.8 ml ± 210.9. At 2 years, ODI, SF-12, Quebec and VAS were significantly improved (p > 0.005).The fusion rate was 96.8% on radiographic analysis and was 87.9% on CT scan analysis.
One-level UNILIF constitutes an effective alternative for management of stable lumbar degenerative diseases. These slides can be retrieved under Electronic Supplementary Material.
评估一期微创经椎间孔椎间融合术联合单侧椎弓根螺钉固定（UNILIF）治疗稳定型腰椎退行性疾病2年随访时的临床和影像学结果。
2012年1月1日至2013年1月31日，我们前瞻性收集了在单一机构接受UNILIF治疗的稳定型退行性腰椎疾病患者的临床和影像学数据。术前及术后2年，我们记录了ODI、SF-12、魁北克量表和视觉模拟评分法（VAS）。通过X线片和CT扫描分析椎间融合情况，并在全脊柱X线片上测试矢状面平衡。
平均手术时间为74.5分钟±16.8分钟，平均失血量为130.8毫升±210.9毫升。术后2年，ODI、SF-12、魁北克量表和VAS均有显著改善（p>0.005）。X线片分析融合率为96.8%，CT扫描分析融合率为87.9%。
一期UNILIF是治疗稳定型腰椎退行性疾病的有效替代方法。这些幻灯片可在电子补充材料中获取。
