CAJ | 학술논문

目的：探讨棘突间动态稳定系统（ Wallis）置入治疗单纯性腰椎间盘突出症的临床效果。方法2011年9月～2012年9月收治的腰椎间盘突出症患者10例，10例LDH患者均行腰椎后路开窗髓核摘除术并植入Wallis棘突间动态稳定系统固定治疗，观察术前、术后情况并进行VAS评分、下腰痛JOA评分及Oswestry功能障碍指数变化。结果10例患者均获得随访，随访时间3～13个月（平均9±2个月）。术后患者疼痛消失，症状与体征均有明显改善。治疗后视觉模拟VAS评分较术前明显降低（P＜0．01），下腰痛JOA评分较术前显著增加（P＜0．01），ODI评分较术前显著降低（P＜0．01）。结论提示棘突间动态稳定系统置入治疗单纯性腰椎间盘突出症的临床效果良好。
목적：탐토극돌간동태은정계통（ Wallis）치입치료단순성요추간반돌출증적림상효과。방법2011년9월～2012년9월수치적요추간반돌출증환자10례，10례LDH환자균행요추후로개창수핵적제술병식입Wallis극돌간동태은정계통고정치료，관찰술전、술후정황병진행VAS평분、하요통JOA평분급Oswestry공능장애지수변화。결과10례환자균획득수방，수방시간3～13개월（평균9±2개월）。술후환자동통소실，증상여체정균유명현개선。치료후시각모의VAS평분교술전명현강저（P＜0．01），하요통JOA평분교술전현저증가（P＜0．01），ODI평분교술전현저강저（P＜0．01）。결론제시극돌간동태은정계통치입치료단순성요추간반돌출증적림상효과량호。
Objective To evaluate Clinic theraputic effects of Wallis dynamic stabilization system in surgical treat-ment of Lumbar disc herniation.Methods From September 2011 to September 2012, Ten cases of patients suffering from lumbar disc herniation were selected.Ten patients were treated with decompression,posterior implantation of Wallis dynamic stabilization system.Visual analogue scale ( VAS) and Japanese Orthopedic Association( JOA) scores for low back pain and Oswestry disability index ( ODI) were used to evaluate clinical outcomes.Results All the patients were followed-up for 3~13 months( mean 9 ±2 months).Sings and symptoms of all patients were improved significantly af-ter operation, The postoperative VAS was dramatically decreased than that of preoperation ( P<0.01); the JOA score was obviously increased (P<0.01), and the ODI score was decreased (P<0.01).Conclusions The application of Wallis can achieve good clinical results for the treatment of lumbar disc herniation.