腰椎棘突间非融合技术:Coflex^(TM)与Wallis临床比较  

Lumbar interspinous non-fusion techniques:comparison between Coflex^(TM) and Wallis

作　　者：刘斌[1,2] 尹东[1,2] 王巧民[1,2] 昌耘冰[1,2] 詹世强[1,2] 曾时兴[1,2] 柯雨洪[1,2] 王义生[1,2] 肖丹[1,2] 

机构地区：[1]广东省人民医院 [2]广东省医学科学院骨科,广东广州510080

出　　处：《南方医科大学学报》2010年第11期2455-2458,共4页Journal of Southern Medical University

基　　金：广东省科技计划项目(2008B030301173)~~

摘　　要：目的评价并比较CoflexTM和Wallis棘突间非融合固定治疗腰椎退行性疾病的近期临床疗效。方法腰椎管狭窄症患者41例,腰椎间盘突出症患者18例,腰椎管狭窄同时伴有腰椎间盘突出症患者34例。43例采用CoflexTM系统棘突间固定患者中单节段41例,双节段2例;50例采用Wallis系统棘突间固定患者中单节段47例,双节段3例。分别采用下腰椎JOA评分系统、Oswestry残疾指数和VAS疼痛评分系统评价术后近期疗效。结果 CoflexTM平均手术时间64.55min,平均术中失血量81.82ml;Wallis平均手术时间82.71min,平均术中失血量89.66ml。术后与术前比较,下腰椎JOA评分、Oswestry残疾指数、VAS疼痛评分均有显著性差异。结论 CoflexTM与Wallis两种棘突间非融合内固定技术治疗腰椎退行性疾病具有良好的近期临床疗效。Objective To compare the short-term clinical outcome of non-fusion techniques using interspinous implantation CoflexTM and Wallis treatment in patients with lumbar spine degenerative diseases.Methods Forty-one cases of lumbar stenosis,18 of lumbar disc herniation,and 34 of lumbar stenosis with lumbar disc herniation were evaluated.Among the 43 cases receiving CoflexTM implantation,41 had operations in one segment and 2 in 2 segments.In the other 50 cases with Wallis implantation,47 had fixation of 1 segment and 3 had 2 segments fixed.JOA Score,Oswestry Disable Index（ODI） and VAS were used to evaluate the short-term clinical results.Results The average operating time was 64.55 min in CoflexTM implantation with an average blood loss of 81.82 ml.The average operating time was 82.71 min in Wallis implantation,which caused an average blood loss of 89.66 ml.Significant improvements in the JOA Score,ODI and VAS were noted after the operations.Conclusion The two interspinous non-fusion techniques,Coflex and Wallis,produce good short-term clinical outcome in the treatment of lumbar spine degenerative diseases.

关 键 词：COFLEX WALLIS 非融合 棘突间固定 腰椎退行性疾病 

分 类 号：R687.3[医药卫生—骨科学]