短节段椎间融合治疗复杂腰椎间盘突出症的临床研究

Clinical study on short segment intervertebral fusion in treating complex lumbar intervertebral disc herniation

目的探讨短节段椎间融合治疗复杂性腰椎间盘突出症的临床研究。方法通过针对37例复杂性腰椎间盘突出症的临床资料进行回顾性分析,结合影像学分析针对主要责任节段采取短节段固定椎间融合治疗方案。通过视觉模拟评分法(VAS)、腰痛功能障碍评分(ODI)、日本骨科协会评分(JOA)及Prolo评分系统对所患者临床疗效进行综合评估。结果所有患者治疗后VAS评分(1.89±1.53)分低于术前(6.23±2.01)分,ODI评分(8.46±2.83)分低于术前[(60.51±3.10)分],JOA评分(12.32±3.57)分高于术前[(8.84±2.93)分],均明显改善(P<0.05),且末次随访中患者的Prolo评分(6.76±2.11)分均优于术前[(3.85±1.37)分]。结论针对合并有腰椎不稳的复杂性腰椎间盘突出症,短节段椎间融合技术具有创伤小、操作简单等技术特点。

Objective To conduct the clinical study on the clinical efficacy of short segment intervertebral disk fusion in the treatment of complex lumbar intervertebral disc herniation.Methods The clinical data in 37 patients with complex lumbar intervertebral disc herniation were retrospectively analyzed,and the treatment regimen of short segment fixation intervertebral disk fusion aiming at the main responsibility segment was analyzed by combining with the imagiology.The clinical curative effects were comprehensively evaluated by using the VAS,ODI,JOA and Prolo scoring systems.Results The VAS score after treatment in all patients were(1.89±1.53)points,which were lower than(6.23±2.01)points before operation,the ODI scores points after treatment were lower than those before operation[(8.46±2.83)points vs.(60.51±3.10)points],the JOA scores after treatment were higher than those before operation[(12.32±3.57)points vs.(8.84±2.93)points],all patients were significantly improved after treatment(P<0.05),moreover the Prolo scores at the last follow up were superior to those before treatment[(6.76±2.11)points vs.(3.85±1.37)points].Conclusion Aiming at complex lumbar intervertebral disc herniation with complicating lumbar instability,short segmental intervertebral disk fusion technique has the technologic characteristics of less trauma and simple operation.