|
|
|
| Clinical Efficacy of Fusion Technology and Coflex Implantation in the Treatment of Senile Degenerative Lumbar Spinal Stenosis |
| GE Xinjiang, et al |
| The First People's Hospital of Aksu, Xinjiang Aksu 843000, China |
|
|
|
|
Abstract Objective: To study the effect of Coflex implantation and total lamina decompression bone grafting fusion and internal fixation in the treatment of senile degenerative lumbar spinal stenosis. Methods: A retrospective analysis was conducted among 62 cases of hospitalized elderly patients with degenerative lumbar spinal stenosis disease from January 2018 to June 2019. Patients were divided into two groups according to the different operation methods, namely the control group and the research group, 31 cases in each. The former were treated with total lamina decompression bone grafting fusion and internal fixation, and the latter were treated with Coflex implantation. Pre- and post-operative data of both groups were compared, including the evaluation values with Japanese Orthopaedic Association (JOA), Visual Analogue Scale (VAS) and intraoperative blood loss, operative time, wound drainage volume, length of hospital stay and incidence rate of complication. Results: JOA score, VAS score, intraoperative blood loss, operation time, wound drainage volume, length of hospital stay and complication rate of the research group were (22.48±2.74), (2.52±0.31), (106.43±17.62) mL, (64.89±8.48) min, (80.52±16.07) mL, (5.48±0.91) d, and (3.23%) respectively. Those of the control group were (20.72±2.41) points, (3.06±0.64) points, (178.25±24.81) mL, (114.72±15.63) min, (136.41±25.26) mL, (8.75±1.52) d, and 9.68%. Compared with the control group, the research group had higher postoperative JOA score, lower VAS score, shorter operative time and hospitalization time, and less intraoperative blood loss and wound drainage (P<0.05).The incidence rate of postoperative complications of the study group was slightly lower than that of the control group, but the difference was not statistically significant (P>0.05). Conclusion: The effect of Coflex implantation in the treatment of senile patients with degenerative lumbar spinal stenosis is better than that of total lamina decompression bone grafting fusion and internal fixation, with high safety and effectiveness.
|
|
|
|
|
|
[1] 胡松峰,凌义龙,方国华,等.自制骨刀潜行减压结合Coflex内固定治疗退变性腰椎管狭窄症的疗效观察[J].浙江医学,2017,39(7):570~571,574.
[2] 祖丹,李钦亮,李士春.棘突间融合钢板与腰椎融合术治疗腰椎管狭窄症的临床疗效分析[J].医学理论与实践,2020,33(3):419~421.
[3] 丁一,杨晋才,尹鹏,等.经皮脊柱内镜辅助下经椎间孔腰椎减压融合术治疗合并严重肺功能不全腰椎管狭窄症1例[J].中国骨与关节损伤杂志,2019,34(9):1005~1006.
[4] 孙凤龙,李军,梁庆晨,等.开放手术与脊柱内镜下行椎板减压治疗退变性腰椎管狭窄症的临床对照研究[J].中华骨与关节外科杂志,2018,11(11):805~811.
[5] 辛龙,俞雷钧,徐卫星,等.后路减压融合内固定结合人工椎板成形术治疗老年退行性腰椎管狭窄症的早期疗效分析[J].中国中医骨伤科杂志,2019,27(4):53~55,58.
[6] 潘复建,段毅.Coflex系统植入术与融合技术治疗老年腰椎管狭窄症疗效观察[J].河北医学,2019,25(2):288~292.
[7] 肖永川,梁川东,许泽川,等.腰椎棘突间撑开装置Coflex治疗退行性腰椎管狭窄症:研究进展及有限元分析[J].中国组织工程研究,2019,23(24):3862~3867.
[8] 郑晓青,昌耘冰,顾宏林,等.Coflex棘突间固定装置植入术治疗腰椎管狭窄症七年随访[J].中国骨与关节杂志,2018,7(2):91~97. |
|
|
|
2020, Vol. 26 
