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微创远外侧腰椎椎间融合术：一项前瞻性队列研究。

Minimally Invasive Far Lateral Lumbar Interbody Fusion: A Prospective Cohort Study.

作者信息

Doria Carlo, Balsano Massimo, Rampal Virginie, Solla Federico

机构信息

University of Sassari, Sassari, Italy.

Santorso Hospital, Santorso, Italy.

出版信息

Global Spine J. 2018 Aug;8(5):512-516. doi: 10.1177/2192568218756908. Epub 2018 Mar 18.

DOI:10.1177/2192568218756908
PMID:30258758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6149041/
Abstract

STUDY DESIGN

Prospective cohort study.

OBJECTIVES

To assess rate and degree of interbody bone fusion and evolution in Oswestry Disability index (ODI) and visual analog scale (VAS) of pain after minimally invasive far lateral lumbar interbody fusion.

METHODS

Twenty-three patients with single-level lumbar instability or degenerative disc were treated by this method and prospectively included. VAS of pain and ODI were evaluated preoperatively and at last follow-up. Computed tomography scan was performed 6 months after surgery to assess interbody fusion.

RESULTS

Between preoperative and 2 years postoperative follow-up, mean VAS decreased by 2.4 points ( < .001); mean ODI improved by 21.8% ( < .001). Computed tomography scan showed fusion in all patients but one. No severe complications were observed.

CONCLUSIONS

Minimally invasive far lateral lumbar interbody fusion resulted in satisfactory clinical and radiological results.

摘要

研究设计

前瞻性队列研究。

目的

评估微创极外侧腰椎椎间融合术后椎间骨融合的速率和程度，以及Oswestry功能障碍指数（ODI）和视觉模拟疼痛评分（VAS）的变化情况。

方法

23例单节段腰椎不稳或椎间盘退变患者接受此方法治疗并被前瞻性纳入研究。术前及末次随访时评估疼痛VAS评分和ODI。术后6个月行计算机断层扫描以评估椎间融合情况。

结果

术前至术后2年随访期间，平均VAS评分下降2.4分（P<0.001）；平均ODI改善21.8%（P<0.001）。计算机断层扫描显示除1例患者外所有患者均融合。未观察到严重并发症。

结论

微创极外侧腰椎椎间融合术取得了满意的临床和影像学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a741/6149041/7e28512f53af/10.1177_2192568218756908-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a741/6149041/2ec44c9a3103/10.1177_2192568218756908-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a741/6149041/7e28512f53af/10.1177_2192568218756908-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a741/6149041/2ec44c9a3103/10.1177_2192568218756908-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a741/6149041/7e28512f53af/10.1177_2192568218756908-fig2.jpg

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