摘要
目的探讨微创多裂肌间隙经椎间孔减压腰椎间植骨融合治疗单阶段腰椎间盘突出症合并骨质疏松的效果。方法 2007年7月～2008年7月,对收治的37例单阶段腰椎间盘突出症合并骨质疏松患者,作微创多裂肌间隙经椎间孔减压腰椎间植骨融合固定治疗,手术后随访观察椎体间植骨融合情况和临床效果,术前、术后和末次随访时采用ODI及VAS评估患者功能。结果 37例患者随访14～20个月,平均17个月,VAS评分术前为8.7±0.77分,术后1个月为4.67±0.77分,末次随访为1.77±0.88分,与术前比较均有显著性差异(P<0.01)。ODI评分术前为39.61±2.71分,后一个月为17.47±3.31分,末次随访为5.70±1.67分,与术前比较均有显著性差异(P<0.01)。椎间隙高度术前为6.98±0.87mm,术后一个月为12.71±0.75mm,末次随访为9.87±0.97mm,与术前比较均有显著性差异(P<0.01)。4例患者术后出现单侧小腿、足背痛觉过敏和姆伸肌力减弱的症状加重,经治疗后恢复。结论微创多裂肌间隙经椎间孔减压腰椎间植骨融合治疗合并骨质疏松的单阶段腰椎间盘突出症可取得满意效果。
Objective To explore the application of minimal invasive therapy with decompression and fusion through intra-multifidus muscle space for the treatment of single-stage lumbar disc herniation combined with osteoporosis.Methods From July 2007 to July 2008,37 patients with lumbar disc herniation were treated with minimal invasive fusion and decompression through multifidus muscle space.After the surgery,the fusion of the implant between the vertebrae was observed.ODI and VAS were used to assess the function of the patients preoperatively and postoperatively.Results The follow-up time for 37 patients was 14～20 months,with an average of 17 months.VAS score was 8.7±0.77 points before the surgery,4.67±0.77 points 1-month after the surgery,and 1.77±0.88 points on the last follow-up time,respectively.The difference was significant compared with the preoperative score（P0.01）.ODI score was 39.61±2.71 points preoperatively,17.47±3.31 points 1-month after the surgery,and 5.70±1.67 points on the last follow-up time,respectively.The height of the disc space was 6.98 ± 0.87 mm preoperatively,12.71 ± 0.75 mm 1-month after the surgery,and 9.87 ± 0.97 mm on the last follow-up time,respectively.The difference was significant compared with the preoperative score（P0.01）.Four patients had unilateral hyperalgesia and weakened dorsal extensor strength.They recovered after treatment.Conclusion Minimal invasive therapy with decompression and fusion through intra-multifidus muscle space for the treatment of single-stage lumbar disc herniation combined with osteoporosis may achieve satisfactory results.
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2012年第4期327-329,共3页
Chinese Journal of Osteoporosis
基金
陕西省卫生厅科学技术基金(08H20)
西安科技局基金[SF1015(2)]
关键词
骨质疏松
腰椎间盘突出症
椎间孔
微创
Osteoporosis
Vertebral disc perturbation
Intervertebral foramen
Minimal invasive
