[1]黄健△ 张文财.K-Rod对单节段腰椎退行性疾病动态固定的短期临床疗效[J].中国中医骨伤科杂志,2015,23(11):32-35.
　HUANG Jian ZHANG Wencai.Short-term Clinical Efficiency of K-Rod Dynamic Fixation on Single Segment Lumbar Degenerative Disease[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(11):32-35.
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K-Rod对单节段腰椎退行性疾病动态固定的短期临床疗效
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年11期
页码:
32-35
栏目:
临床研究
出版日期:
2015-11-15

文章信息/Info

Title:
Short-term Clinical Efficiency of K-Rod Dynamic Fixation on Single Segment Lumbar Degenerative Disease
文章编号:
1005-0205(2015)11-0032-04
作者:
黄健1△ 张文财2
1.海口市中医医院骨科(海口,570216)
2.广州中医药大学第三附属医院脊柱科
△通信作者 E-mail:67866987@qq.com
Author(s):
HUANG Jian1 ZHANG Wencai2
1.Department of Orthopaedics,Haikou Hospital of Traditional Chinese Medicine of Hainan Province,Haikou 570216,China;
2.Department of Spine,the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510240,China.
关键词:
腰椎;  退行性疾病;  K-Rod
Keywords:
lumbar;  degenerative disease;  K-Rod
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨K-Rod对单节段腰椎退行性疾病动态固定的短期临床疗效。方法:回顾分析2012年1月-2013年5月24例经K-Rod动态稳定系统治疗的单节段腰椎退行性疾病患者的临床资料,采用VAS和ODI评分评估术后临床疗效,采用影像学观察术后椎间隙活动度(ROM)及椎间隙高度(DHI)。结果:随访期间所有患者均无断钉断棒,螺钉松动等并发症。所有患者术前与术后2周及末次随访时腰部VAS评分和下肢VAS评分及ODI评分比较差异均有统计学意义(P<0.05),末次随访与术后2周相比差异均无统计学意义(P>0.05)。与手术前相比,手术节段术后3个月、6个月及末次随访时ROM明显减少,差异有统计学意义(P<0.05),上下节段ROM较术前稍有增加,但差异无统计学意义(P<0.05),而手术前后手术节段及上下节段DHI相比差异均无统计学意义(P>0.05)。结论:K-Rod对单节段腰椎退行性疾病动态固定的短期临床疗效满意,可作为腰椎内固定手术方式的一种补充。
Abstract:
Objective: To investigate the short-term clinical efficiency of K-Rod dynamic fixation on single segment lumbar degenerative disease.Methods: Between January 2012 And May 2013, 24 patients with single segment lumbar degenerative disease were treated with K-Rod dynamic system and the clinical data was retrospectively analyzed.Clinical efficiency was evaluated by VAS and ODI scores.Postoperatively the range of motion(ROM)and the disc height index(DHI)were observed by imaging.Results: There were no complications of screw breakage and loosening during follow-up.Compared with the preoperative, the difference of VAS and VAS and ODI scores in the 2 week and the last follow-up of all patients was statistically significant(P<0.05),but there was no significant difference in these scores between the 2 weeks and the end of the follow-up(P>0.05).Compared with that before operation, ROM of the operation segment was significantly decreased at 3 months, 6 months, and the last follow-up, which shows significant difference(P<0.05),but ROM of upper and lower segment increased slightly, which shows no significant difference(P>0.05).There was no significant difference in the operation segment and the upper and lower segments of the DHI before and after operation(P>0.05).Conclusion: Short-term clinical efficiency of K-Rod dynamic fixation on single segment lumbar degenerative disease was satisfied, which can be used as a supplemental fixation in the lumbar spine.

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备注/Memo

备注/Memo:
收稿日期:2015-04-04
更新日期/Last Update: 2015-11-15