摘要
[目的]探讨斜外侧腰椎间融合术(oblique lumbar interbody fusion,OLIF)治疗退行性腰椎疾病的效果.[方法]回顾性分析65例行OLIF治疗的退行性腰椎疾病患者的临床资料,总结OLIF优势、手术适应证及相关并发症.[结果]65例患者均顺利完成手术,术中无血管损伤;手术时间平均(75.14±13.08)min,术中出血量平均(32.11±6.25)ml,手术切口平均(3.12±0.46)cm.术中有1例终板骨折,1例交感神经损伤,经对应处理后,患者不适感均减轻或消失.所有患者随访18~41个月,平均(29.67±13.44)个月,末次随访时患者腰痛和腿痛VAS评分,以及ODI评分均较术前显著降低(P<0.05),而JOA评分较术前显著增加(P<0.05).影像方面,与术前相比,末次随访时患者VIVSH、DIVSH、IFH、SL均显著增加(P<0.05).末次随访无椎弓根螺钉松动、移位或断裂.[结论]OLIF能直接恢复腰椎退行性疾病椎间隙及椎间孔高度,缓解患者临床症状,且安全性高.
[Objective]To evaluate the clinical outcomes of oblique lumbar interbody fusion(OLIF)for treatment of degenerative lumbar diseases.[Methods]A retrospective study was done on 65 patients who underwent OLIF for degenerative lumbar diseases.The advantages,indications and complications of OLIF were summarized.[Results]All the 65 patients had OLIF completed smoothly without serious complications,such as vascular injury,whereas with operative time of(75.14±13.08)min,intraoperative blood loss of(32.11±6.25)ml,and the incision length of(3.12±0.46)cm.During the operation,1 patient got endplate fracture,another got sympathetic nerve injury,which solved by corresponding treatment without serious consequences.The follow up lasted for 18—41 months with a mean of(29.67±13.44)months.At the last follow-up,the VAS scores for low back pain and leg pain,as well as ODI score significantly decreased(P<0.05),while the JOA score significantly increased compared with those preoperatively(P<0.05).In terms of imaging evaluation,the ventral intervertebral space height(VIVSH),dorsal intervertebral space height(DIVSH),intervertebral foramen height(IFH)and segmental lordosis(SL)significantly increased postoperatively compared with those preoperatively(P<0.05).No pedicle screw loosening,displacement or fracture were noted in anyone of them until the time of the latest follow-up.[Conclusion]OLIF does directly restore the height of intervertebral space and foramina in lumbar degenerative diseases,and relieve the clinical symptoms of patients with high safety.
作者
双鸥
周建敏
王跃华
廖龙腾
李健
汪文玉
杨小政
蔡子军
SHUANG Ou;ZHOU Jian-min;WANG Yue-hua;LIAO Long-teng;LI Jian;WANG Wen-yu;YANG Xiao-zheng;CAI Zi-jun(Department of Orthopedics,People's Hospital of Shangrao City,Shangrao 334000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2021年第24期2268-2271,共4页
Orthopedic Journal of China
基金
江西省卫生健康委科技计划课题项目(编号:202140934)。
关键词
退行性腰椎疾病
斜外侧腰椎间融合术
临床结果
degenerative lumbar diseases
oblique lumbar interbody fusion
clinical outcome