后路Isobar非融合内固定系统修复腰椎间盘突出症:恢复腰椎活动度更具优势  

Posterior Isobar non-fusion internal fixation system in repair of lumbar disc herniation: more advantages in restoring range of motion of lumbar spine

作　　者：刘彦斌[1] 付强[1] 

机构地区：[1]解放军第二军医大学附属长海医院脊柱外科,上海市200433

出　　处：《中国组织工程研究》2015年第13期2051-2056,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:对于腰椎间盘突出症患者采取后路内固定治疗,可以常规选择后路椎间融合钉棒系统内固定的方式,近年来Isobar非融合内固定系统作为一种半坚强内固定腰椎后路动态钉棒固定系统开始逐渐应用在临床,成为患者的治疗选择方式之一。目的:临床对比观察研究分析采取后路Isobar非融合内固定系统和传统椎间融合钉棒系统内固定治疗腰椎间盘突出症的临床疗效。方法:对2011年9月至2012年9月收治解放军第二军医大学附属长海医院骨科进行手术治疗的腰椎间盘突出症患者40例,分为Isobar组和坚强内固定组,各20例,分别采用后路Isobar非融合内固定系统和传统椎间融合钉棒系统内固定进行治疗。结果与结论:两组患者均顺利完成手术,并完成至少2年以上随访,无脱落。与内固定前相比,两组患者内固定后腰腿痛目测类比评分、Oswestry功能障碍指数功能指数均显著改善;且与坚强内固定组相比,Isobar组患者治疗后腰椎活动度较大,而两组患者腰腿痛目测类比评分和Oswestry功能障碍指数接近。说明采用后路Isobar非融合内固定治疗能够获得传统治疗相同的治疗效果,且在腰椎活动度方面更具有优势。BACKGROUND：The patients with lumbar intervertebral disc protrusion can be treated with internal fixation of posterior surgery way. We can choose the conventional posterior intervertebral fusion nail stick system internal fixation. Isobar non-fusion internal fixation system was used in recent years. As a kind of a strong internal fixation of lumbar posterior dynamic screw rod fixation system, it has been gradual y applied in clinic, and has been one of patient’s treatment options. OBJECTIVE：To compare and analyze the clinical efficacy of Isobar non-fusion internal fixation system and traditional intervertebral fusion nail rod system internal fixation operation method in treatment of lumbar disc herniation. METHODS：From September 2011 to September 2012, 40 patients with lumbar disc herniation who were treated in the Department of Orthopedic, Changhai Hospital, the Second Military Medial University of Chinese PLA were enrol ed in this study. They were equal y assigned to the Isobar non-fusion internal fixation system group （Isobar group） and the traditional intervertebral fusion nail rod system internal fixation group （rigid internal fixation group） and subjected to corresponding treatments. RESULTS AND CONCLUSION：Surgery was successful y completed in patients of the two groups. These patients received at least 2 years of fol ow-up, no drop out. Compared with pre-fixation, low back pain Visual Analog Scale and Oswestry Disability Index were improved significantly after fixation in both groups. Compared with the rigid internal fixation group, range of motion of lumbar spine was larger in the Isobar group. Low back pain Visual Analog Scale and Oswestry Disability Index were similar between the two groups. These results indicated that posterior Isolbar non-fusion internal fixation obtained identical outcomes as traditional treatment, and showed more advantages in range of motion of lumbar spine.

关 键 词：植入物 脊柱植入物 脊柱内固定物 Isobar系统 腰椎间盘突出症 目测类比评分 OSWESTRY功能障碍指数 腰椎活动度 

分 类 号：R318[医药卫生—生物医学工程]