棘突间动态内固定系统治疗退变性腰椎管狭窄症的临床应用  

Clinical Efficacy of Interspinous Dynamic Fixation System(coflex)for Treating Degenerative Lumber Spinal Stenosis

作　　者：都芳涛[1] 李广义[1] 尚博[1] 张劼[1] 方继峰[1] 张文生[1] 

机构地区：[1]山东泰山医学院附属聊城市第二人民医院骨一科,山东临清252600

出　　处：《中国中医骨伤科杂志》2013年第10期39-41,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:评价采用Coflex棘突间动态内固定治疗退变性腰椎管狭窄症的疗效。方法:将62例腰椎管狭窄症患者按随机数字表法分成非融合组和融合组,每组各31例。分别采用Coflex(非融合组)及PLIF术(融合组)治疗退变性腰椎管狭窄症,采用日本整形外科学会(JOA)评分和(ODI)功能评价评估临床疗效,计算恢复率。并通过X线片测量腰椎各间隙活动度(ROM)。观察比较两组的手术时间、出血量。结果:与融合组相比,非融合组术后6个月时(JOA)评分和(ODI)功能评价及术后恢复率比较差异无统计学意义(P>0.05),而手术时间、出血量显著降低。结论:Coflex棘突间动态内固定治疗退变性腰椎管狭窄症临床疗效显著,是一种安全、有效、微创的新术式。Objective：To assess the efficacy of interspinous dynamic fixation system （coflex） for treating degenerative lumber spinal stenosis. Methods： All 62 cases of degenerative lumber spinal stenosis were randomly divided into Coflex group （non-fusion group） and PLIF group （fusion group）, 31 cases in each group. The clinical efficacy were analyzed by Japanese orthopeadic association （JOA） score system and Oswestry disability index （ODD function evaluation system, and the recovery rate was calculated. The range of motion （ROM） of lumbar segments was measured by X-ray film. The operation time and intraoperative blood loss were observed and compared in the two groups. Results： Compared to the fusion group, the JOA score, ODI score, and postoperative rate of recovery were not significant different 6 months after surgery （P〉0. 05）, but the operative time and intraoperative blood loss were significantly reduced, in the non-fusion group. Conclusion： The interspinous dynamic fixation system （coflex） is a new effective, safe, and minimally invasive method for treating degenerative lumber spinal stenosis.

关 键 词：退变性腰椎管狭窄症 Coflex系统 融合 非融合 

分 类 号：R681.57[医药卫生—骨科学]