[1]潘瑞杰,谢添.斜外侧腰椎间融合术联合脊柱内固定融合系统治疗邻椎病的临床疗效分析[J].中国中医骨伤科杂志,2024,32(03):88-92.[doi:10.20085/j.cnki.issn1005-0205.240318]
　PAN Ruijie,XIE Tian.Clinical Efficacy Analysis of Oblique Lateral Lumbar Interbody Fusion Combined with Spinal Internal Fixation Fusion System in the Treatment of Adjacent Vertebral Diseases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(03):88-92.[doi:10.20085/j.cnki.issn1005-0205.240318]
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斜外侧腰椎间融合术联合脊柱内固定融合系统治疗邻椎病的临床疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年03期
页码:
88-92
栏目:
临床报道
出版日期:
2024-03-15

文章信息/Info

Title:
Clinical Efficacy Analysis of Oblique Lateral Lumbar Interbody Fusion Combined with Spinal Internal Fixation Fusion System in the Treatment of Adjacent Vertebral Diseases
文章编号:
1005-0205(2024)03-0088-05
作者:
潘瑞杰1; 谢添2
1湖北中医药大学针灸骨伤学院(武汉,430061)
2武汉市中医医院
Author(s):
PAN Ruijie1; XIE Tian2
1School of Acupuncture and Moxibustion,Hubei University of Chinese Medicine,Wuhan 430061,China; 2Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430017,China.
关键词:
脊柱融合;  脊柱内固定融合系统;  邻椎病
Keywords:
spinal fusion;  spinal fixation and fusion system;  adjacent spondylosis
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240318
文献标志码:
B
摘要:
目的:探讨斜外侧腰椎间融合术(OLIF)联合脊柱内固定融合系统(PIVOX系统)治疗邻椎病的临床疗效。方法:回顾性分析2018年10月至2022年10月,接受斜外侧腰椎间融合术联合PIVOX系统治疗的37例腰椎退变性并发相邻椎体病变患者的治疗效果。记录了手术时间、术中出血量、椎间隙高度、椎间孔面积、椎管面积、下腰痛视觉模拟量表(VAS)评分和患者Oswestry功能障碍指数(ODI)评分。结果:共37例患者,其中32个单节段病灶和5个双节段病灶。全部患者随访12～17个月,平均为(13.4±1.5)个月。术后椎间隙高度、椎间孔面积和椎管面积与术前相比差异有统计学意义(P<0.05); VAS评分从平均值(6.0±1.1)分降低到(2.3±0.5)分,ODI评分从60.4%±5.1%降至27.0%±8.1%,术后与术前相比差异有统计学意义(P<0.05)。结论:斜外侧腰椎间融合术联合脊柱斜外侧内固定融合系统(PIVOX)治疗效果显著,创伤小,并发症少,是一种安全、有效的方法,值得临床推广应用。
Abstract:
Objective:To explore the clinical efficacy of oblique lateral lumbar interbody fusion(OLIF)combined with spinal fixation and fusion system(PIVOX system)in the treatment of adjacent spondylosis.Methods:From October 2018 to October 2022,37 cases of lumbar degeneration complicated with adjacent vertebral lesions were treated by OLIF combined with PIVOX system.The operation time,intraoperative blood loss,intervertebral space height,intervertebral foramen area,spinal canal area,visual analogue scale(VAS)scores of low back pain and Oswestry dysfunction index(ODI)were recorded.Results:There were 37 patients,including 32 single-segmental lesions and 5 double-segmental lesions.All patients were followed up for 1217 months,with an average of(13.4±1.5)months.The height of intervertebral space,intervertebral foramen area and spinal canal area after operation were significantly different from those before operation(P<0.05).Conclusion:OLIF combined with oblique lateral spinal internal fixation system(PIVOX system)is a safe and effective method with less trauma and less complications,and should be widely used in clinic.

参考文献/References:

[1] 钟建斌,张凯伦,赵波捷,等.腰椎邻椎病的危险因素及治疗进展[J].中国骨与关节杂志,2020,9(7):555-559.
[2] PHILLIPS F M,CARLSON G D,BOHLMAN H H,et al.Results of surgery for spinal stenosis adjacent to previous lumbar fusion[J].J Spinal Disord,2000,13(5):432-437.
[3] ZHU L,WANG J W,ZHANG L,et al.Outcomes of oblique lateral interbody fusion for adult spinal deformity:a systematic review and meta-analysis[J].Global Spine J,2022,12(1):142-154.
[4] KAI W,CHENG C,YAO Q,et al.Oblique lumbar interbody fusion using a stand-alone construct for the treatment of adjacent-segment lumbar degenerative disease[J].Front Surg,2022,9:850099.
[5] KODERA T,TADA H,AKAZAWA A,et al.Evaluation of the use of calcium phosphate cement for aesthetic neurosurgical cranial reconstruction[J].World Neurosurg,2018,110:e296-e304.
[6] TOY J O,ESMENDE S M,NWASIKE C,et al.Minimally invasive lateral interbody technique for the treatment of lumbar adjacent segment disease[J].Oper Tech Orthop,2017,27:231-235.
[7] 周蕾,周晶,刘超,等.单纯斜外侧腰椎间融合术治疗邻椎病早期临床疗效分析[J].实用骨科杂志,2021,27(11):988-993.
[8] 沈俊宏,王建,刘超,等.斜外侧腰椎间融合术治疗退变性腰椎疾病的并发症和早期临床结果[J].中国脊柱脊髓杂志,2018,28(5):397-404.
[9] WEN J,SHI C,YU L,et al.Unilateral versus bilateral percutaneous pedicle screw fixation in oblique lumbar interbody fusion[J].World Neurosurg,2020,134:e920-e927.
[10] NAYAK A N,GUTIERREZ S,BILLYS J B,et al.Biomechanics of lateral plate and pedicle screw constructs in lumbar spines instrumented at two levels with laterally placed interbody cages[J].Spine J,2013,13(10):1331-1338.
[11] GUO H Z,TANG Y C,GUO D Q,et al.Stability evaluation of oblique lumbar interbody fusion constructs with various fixation options:a finite element analysis based on three-dimensional scanning models[J].World Neurosurg,2020,138:e530-e538.
[12] DENHAESE R,GANDHI A,FERRY C,et al.An in vitro biomechanical evaluation of a lateral lumbar interbody fusion device with integrated lateral modular plate fixation[J].Global Spine J,2021,11(3):351-358.
[13] LIU J,FENG H.Oblique lateral interbody fusion(OLIF)with supplemental anterolateral screw and rod instrumentation:a preliminary clinical study[J].World Neurosurg,2020,134:e944-e950.
[14] ZHANG S,XU H,YIN C H.Application of oblique lateral interbody fusion combined with bridge-locking cage in adjacent segment disease after lumbar fusion[J].Orthop Surg,2022,14(12):3268-3276.
[15] 张世浩,谭亮,林云志,等.OLIF联合皮质骨轨迹螺钉治疗腰椎退行性疾病的临床疗效分析[J].中国临床解剖学杂志,2020,38(2):198-201.
[16] ZHANG Y,SHAO Q,YANG C,et al.Finite element analysis of different locking plate fixation methods for the treatment of ulnar head fracture[J].J Orthop Surg Res,2021,16(1):191.
[17] BOZKUS H,CHAMBERLAIN R H,PEREZ GARZA L E,et al.Biomechanical comparison of anterolateral plate,lateral plate,and pedicle screws-rods for enhancing anterolateral lumbar interbody cage stabilization[J].Spine(Phila Pa 1976),2004,29(6):635-641.
[18] OKUDA S,NAGAMOTO Y,TAKENAKA S,et al.Effect of segmental lordosis on early-onset adjacent-segment disease after posterior lumbar interbody fusion[J].J Neurosurg Spine,2021,35(4):454-459.
[19] 杜传超,张衡,梁辰,等.斜外侧腰椎椎间融合术中及术后并发症[J].脊柱外科杂志,2020,18(1):6-9.

备注/Memo

备注/Memo:
基金项目:湖北省中医药管理局20232024年度中医药重点项目(ZY2023Z011)
更新日期/Last Update: 2024-03-15