经椎间孔腰椎椎体间融合术：自体骨移植与聚醚醚酮椎间融合器的比较
TRANSFORAMINAL INTERSOMATIC LUMBAR ARTHRODESIS: COMPARISON BETWEEN AUTOGRAFT AND CAGE IN PEEK.
作者信息
Sorpreso Renato Scapucin, Martins DÉlio EulÁlio, Kanas Michel, Sorpreso Isabel Cristina Esposito, Astur Nelson, Wajchenberg Marcelo
机构信息
Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2020 Nov-Dec;28(6):296-302. doi: 10.1590/1413-785220202806238460.
OBJECTIVE
To compare the postoperative outcomes of transforaminal intersomatic lumbar arthrodesis with structured iliac bone autograft and PEEK device.
METHODS
The total of 93 medical records of patients undergoing transforaminal intersomatic fusion between January 2012 and July 2017 with at least 1 year of postoperative follow-up, with complete medical record, containing clinical file and radiological exams, were reviewed.
RESULTS
From the medical records evaluated, 48 patients underwent the procedure with structured iliac autograft (group 1) and 45 with PEEK device (group 2). There was an improvement in functional capacity in both groups (p < 0.001), however there was no difference when comparing them (p = 0.591).
CONCLUSION
The postoperative clinical and radiological results of lumbar arthrodesis with TLIF technique, using a structured iliac bone autograft compared to a PEEK device, were similar.
目的
比较采用结构性髂骨自体骨移植和聚醚醚酮（PEEK）装置进行经椎间孔腰椎椎间融合术的术后效果。
方法
回顾了2012年1月至2017年7月期间接受经椎间孔椎间融合术且术后至少随访1年的93例患者的病历，这些病历完整，包含临床档案和影像学检查。
结果
在评估的病历中，48例患者采用结构性髂骨自体骨移植进行手术（第1组），45例患者采用PEEK装置进行手术（第2组）。两组患者的功能能力均有改善（p < 0.001），但比较两组时无差异（p = 0.591）。
结论
与PEEK装置相比，采用结构性髂骨自体骨移植的经椎间孔腰椎椎间融合术（TLIF）技术的腰椎融合术后临床和影像学结果相似。
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