Wallis棘突间动态稳定系统在腰椎退行性疾病手术治疗中的应用  

Early effect of posterior dynamic lumbar stabilization in lumbar degenerative disease

作　　者：李斌[1] 牛光峰[1] 孙建民[1] 蒋振松[1] 崔新刚[1] 杨超群[1] 王乃国[1] 

机构地区：[1]山东大学附属省立医院,济南市经五纬七路324号D10楼脊柱外科,250021

出　　处：《中国矫形外科杂志》2012年第11期961-963,共3页Orthopedic Journal of China

摘　　要：[目的]探讨椎管减压加Wallis棘突间动态稳定系统治疗腰椎退行性疾病的初期效果。[方法]分析自2008～2011年65例单独采用Wallis棘突间动态稳定系统或结合固定融合方法治疗腰椎退行性疾病的临床疗效和初期随访结果,采用VAS疼痛10分法和中华医学会骨科分会脊柱外科学组腰椎手术疗效标准评估手术疗效,随访有无Wallis动态固定系统相关并发症及疗效。[结果]Wallis棘突间动态稳定系统手术操作简便、创伤小,术前1 d、术后2周及末次随访疼痛VAS评分改善明显,影像学检查未发现内置物移位、邻近节段退变加重。[结论]Wallis棘突间动态稳定系统或结合固定融合方法治疗腰椎退行性疾病简便安全,初期随访疗效良好,为腰椎退行性疾病的治疗增加了一种全新的治疗选择。[Objective]To evaluate the early effect of posterior dynamic lumbar stabilization in lumbar degenerative disease.[Methods]The clinical outcomes of 65 patients with lumbar degenerative disease treated by posterior decompression with Wallis posterior dynamic lumbar stabilization implant or combined with posterior lumbar fusion were retrospectively studied,and assessed with visual analogue scale（VAS） and spinal operative standard of Chinese Medical Association.The early effect and complications associated with Wallis posterior dynamic lumbar stabilization were recorded.[Results]The operative procedure of Wallis posterior dynamic lumbar stabilization implant was easy and less invasive.The VAS scores were improved significantly at one day preoperatively,two week postoperatively and final follow-up,respectively.The good to excellent result was 92% at the final follow-up.No compliction related with Wallis posterior dynamic lumbar stabilization was found.[Conclusion]It is easy and safe to use Wallis posterior dynamic lumbar stabilization in treatment of degenerative lumbar disease,and the early effect is good.The Wallis system provides an alternative for treatment of lumbar degenerative disease.

关 键 词：腰椎退行性变 减压 WALLIS 棘突间动态稳定系统 

分 类 号：R687.3[医药卫生—骨科学]