CAJ | 학술논문

目的探讨微创经椎间孔腰椎融合术对中老年退行性腰椎不稳病变的疗效.方法 2010年11月~2011年7月,对11例退行性腰椎不稳并腰椎管狭窄或椎间盘突出患者,采用微创经椎间孔腰椎融合术治疗,术前仔细测量相应不稳椎体角度或水平位移的变化,观察并讨论术后相应病椎的复位程度;采用日本矫形外科学会(JOA)评分,并对术后评分改善指数和评分改善率进行讨论来评估腰椎功能的改善情况和临床疗效.结果所有患者均随访6个月,不稳或滑脱椎体术后(角度和水平位移)复位均满意,与术前比较差异有统计学意义(P<0.05);术后1周、6个月JOA评分较术前明显改善,差异有统计学意义(P<0.05);术后评分改善指数和改善率均得到明显改善,末次随访评分改善指数和评分改善率与术后1周比较无明显变化,差异无统计学意义(P>0.05).结论微创经椎间孔腰椎融合术为治疗中老年退行性腰椎不稳病变的有效措施.
목적 탐토미창경추간공요추융합술대중노년퇴행성요추불은병변적료효.방법 2010년11월~2011년7월,대11례퇴행성요추불은병요추관협착혹추간반돌출환자,채용미창경추간공요추융합술치료,술전자세측량상응불은추체각도혹수평위이적변화,관찰병토론술후상응병추적복위정도;채용일본교형외과학회(JOA)평분,병대술후평분개선지수화평분개선솔진행토론래평고요추공능적개선정황화림상료효.결과 소유환자균수방6개월,불은혹활탈추체술후(각도화수평위이)복위균만의,여술전비교차이유통계학의의(P<0.05);술후1주、6개월JOA평분교술전명현개선,차이유통계학의의(P<0.05);술후평분개선지수화개선솔균득도명현개선,말차수방평분개선지수화평분개선솔여술후1주비교무명현변화,차이무통계학의의(P>0.05).결론 미창경추간공요추융합술위치료중노년퇴행성요추불은병변적유효조시.
@@@@ Objective To study the clinical efficacy of minimally invasive transforaminal lumbar Interbody fusion surgery for de -generative lumbar instability in middle-aged.Methods There were 11 cases of patients from November 2010 to July 2011,who suffered de-generative lumbar instability with lumbar spinal stenosis or slippde disc and treated by minimally invasive transforaminal lumbar fusion ,care-fully measured the change of the corresponding unstable vertebral angle or horizontal displacement changes in preoperative ,and discussed postoperative degree of reset in unstable vertebral level .Through Japanese Society of Orthopaedic Surgery score ,postoperative scores improved index and score improvement rate to discusse and evaluate the improvement of lumbar function and clinical efficacy .Results All patients were followed up for 6 months,postoperative instability or spondylolisthesis (angle and horizontal displacement ) were reset with satisfied,the difference was statistically significant compared with preoperative (P<0.05);The JOA score in postoperative (Respectively 1 week and 6 months) were significantly improved compared with preoperative ,the difference was statistically significant (P<0.05);Both postoperative scores improved index and score improvement rate were significantly improved ,there was no significant change between the score improved in-dex and score improvement rate in the last follow-up and 1 week after the operation,there was no significant difference between them (P>0. 05).Conclusion Minimally invasive transforaminal lumbar fusion surgery is an effective treatment for degenerative lumbar instability .