| 单节段棘突间Coflex动态固定系统与后路椎间植骨融合术治疗腰椎间盘退行性变的疗效比较 |
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| 引用本文： | 陈志光,梁伟国,周子强,李锋生,叶韶辉,吴劲风,叶冬平,陈鸿辉.单节段棘突间Coflex动态固定系统与后路椎间植骨融合术治疗腰椎间盘退行性变的疗效比较[J].中国矫形外科杂志,2011,19(15):1238-1240. |
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| 作者姓名： | 陈志光 梁伟国 周子强 李锋生 叶韶辉 吴劲风 叶冬平 陈鸿辉 |
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| 作者单位： | 暨南大学医学院第四附属医院;广州市红十字会医院广州市创伤外科研究所; |
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| 摘 要： | 目的]对Coflex棘突间动态固定系统在治疗腰椎间盘退行性变中的应用进行短期疗效评价,比较其与PLIF传统方法疗效差异。方法]回顾性分析2008年12月～2010年4月采用Coflex动态固定系统治疗腰椎间盘退行性变的病例28例,男性13例,女性15例;年龄48～69岁,平均56.7岁。病史10～54个月,平均20.4个月。随访12～22个月。后路椎间植骨融合术:32例患者,男性14例,女性18例;年龄46～72岁,平均60.8岁。通过VAS评分、Oswestry功能障碍指数(ODI)和影像学分析来评价其疗效。结果]与PLIF组相比,Coflex组术前及末次随访VAS腰痛评分、术前及末次随访ODI、术前手术节段及上邻节段ROM差异无统计学意义。Coflex组末次随访手术节段ROM较PLIF组大,差异具有统计学意义。Coflex组末次随访手术上邻节段ROM较PLIF组小,差异具有统计学意义。结论]Coflex在治疗腰椎间盘退行性变中,对维持脊柱单元运动稳定性、缓解腰椎间盘突出症的根性症状具有积极的作用。
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| 关 键 词： | 腰椎退行性变 coflex脊柱动态稳定固定系统 |
Treatment of degenerative disc disease with Coflex interspinous implant versus posterior lumbar interbody fusion:a prospectively comparative study |
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| CHEN Zhi-guang,LIANG Wei-guo,ZHOU Zi-qiang,et al..Treatment of degenerative disc disease with Coflex interspinous implant versus posterior lumbar interbody fusion:a prospectively comparative study[J].The Orthopedic Journal of China,2011,19(15):1238-1240. |
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| Authors: | CHEN Zhi-guang LIANG Wei-guo ZHOU Zi-qiang |
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| Institution: | CHEN Zhi-guang,LIANG Wei-guo,ZHOU Zi-qiang,et al.Guangzhou Redcross Hospital,Guangzhou 510220,China |
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| Abstract: | Objective] To evaluate the short term effectiveness of lumbar disc herniation by Coflex. Methods]From December 2008 to April 2010,28 patients(13 males and 15 females) were treated by Coflex.The average age was 56.7 years(range,48-69).The average period of follow-up was 20.4 months.The short term effectiveness of lumbar disc herniation were investigated. Results]Compared with the poster,or lumber interbody fusion group,the Coflex group had higher ROM scores.The VAS scores,ODI scores had no significant dif... |
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| Keywords: | lumbar degeneration Coflex dynamic stability system |
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