微创单通道多节段间接减压侧方椎间融合术(XLIF)治疗成人根性疼痛性腰椎退变性侧凸的早期临床报告

Application of minimum invasive single channel multi-level indirect decompressionApplication decompression lateral interbody fusion (XLIF) in adult lumbar degenerative scoliosis withlateral with radicular pain: an early clinical reportradicular report

目的目的:评估微创单通道多节段间接减压融合手术(XLIF)治疗成人根性疼痛症状性下腰退变侧凸畸形的早期临床疗效。方法方法:回顾分析2012年6月至9月采用XLIF治疗的9例患者的临床资料。症状性下腰退变合并侧凸8例,男3例,女5例,年龄62~85岁,分别涉及L2-3,L3-4,L4-5节段,Cobb角38°~59°。另1例女性16岁,特发性脊柱侧凸,主弯腰段,Cobb角45°,顶椎L3。结果结果:手术时间45~120 min,平均失血50 ml。所有患者均未输血,均于术后次日下地活动。无神经功能恶化。腰痛VAS评分由术前(7.34±2.02)分改善至术后(2.87±1.45)分,腿痛VAS评分由术前(8.02±1.61)分改善至术后(2.92±1.53)分,JOA评分由术前7.27±5.17改善至术后12.79±7.82,ODI评分由术前30.55±11.30改善至19.98±14.0。结论结论:初步验证了XLIF的有效性和安全性。

Objective:To evaluate the early clinical outcome of minimum invasive single channel multi-level indirect decompression lateral interbody fusion (XLIF) in the treatment of adult lumbar degenerative scoliosis with radicular pain. <br> Methods:The clinical data of 9 patients undergoing XLIF between June and September 2012 were retrospectively analyzed in the study. There were 8 patients with lumbar degenerative scoliosis (3 males and 5 females, aged from 62 to 85 years, sur-gical levels:L2-3, L3-4 and L4-5, Cobb angle:38 to 59 degrees) and 1 patients with idiopathic scoliosis (female,16 years old, main curve in lumbar spine, Cobb angle:45 degrees, apical vertebrae L3). <br> Results:The duration of the operation was 45 to 120 min. The mean column of blood loss was 50 ml. All patients did not un-dergo transfusion and were able to conduct bedside activity one day after surgery. No serious complications and nerve defi-cit occurred. Back pain VAS improved from preoperative 7.34 ± 2.02 to post-operative 2.87 ± 1.45;leg pain VAS improved from preoperative 8.02 ± 1.61 to post-operative 2.92 ± 1.53; JOA improved from preoperative 7.27 ± 5.17 to post-operative 12.79±7.82;ODI improved from preoperative:30.55±11.30 to post-operative 19.98±14.0. <br> Conclusions: XLIF technology is effective and safe in the treatment of adult lumbar degenerative scoliosis with radicular pain.