棘突间动态稳定系统(Coflex)结合椎间盘镜微创减压治疗腰椎管狭窄症  

Clinical effect of dynamic interspinous implants(Coflex)combined with MED microdecompression in the treatment of lumbar spinal stenosis

作　　者：冯旭[1,2] 禹宝庆[1,2] 黄建明[1,2] 李承[1,2] 刘莉[1,3] 胡万坤[1,2] 敖荣广[1,2] 

机构地区：[1]上海市浦东医院 [2]复旦大学附属浦东医院骨科,上海201399 [3]复旦大学附属浦东医院麻醉科,上海201399

出　　处：《颈腰痛杂志》2014年第2期105-107,共3页The Journal of Cervicodynia and Lumbodynia

基　　金：上海市浦东新区卫生局资助(编号:PW2010A-21)

摘　　要：目的探讨棘突间动态稳定系统Coflex结合后路椎间盘镜治疗腰椎管狭窄症的临床疗效和意义。方法于2008-12-2012-3收治25例腰椎管狭窄症患者,采用腰椎后路椎间盘镜对责任节段椎管减压并在相应棘突间放置Coflex维持动态稳定。术后3、6、12和18个月随访,根据间歇性跛行无痛距离和Oswestry功能障碍指数(ODI)评价手术效果和术后功能恢复情况。结果术前与术后各时间点间歇性跛行无痛步行距离(P<0.01)和ODI评分(P<0.05)都有统计学意义。结论棘突间动态稳定系统coflex结合后路椎间盘镜微创治疗腰椎管狭窄症的近中期疗效良好,对相邻节段退变的影响等长期疗效需要进一步观察。Objective To explore the clinical effect of posterior microendoscopic discectomy （MED） combined with implantation of Coflex （the dynamic interspinous device） in the treatment of patients with lumbar spinal stenosis （LSS）. Methods From December 2008 to March 2012,25 adult patients suffering from LSS underwent implantation of Coflex（Franee） after MED. Postoperative 3,6,12 and 18 months, the pain-free walking distance （WD） and ODI scale were used to evaluate the clinical effect. Results WD （P〈0.01）and ODI scale（P〈0.05） for both lower extremity pain and low back pain showed significant improvement. Conclusion The implantation of the interspinous Coflex combined with MED shows good clinical outcome in patients with LSS in the short and medium follow-up. It is necessary for longer follow-up time to observe whether the technique has significant influence on degeneration at the adjacent segments.

关 键 词：后路椎间盘镜 棘突间动态稳定系统 腰椎管狭窄症 微创 

分 类 号：R681.55[医药卫生—骨科学]