| 腰椎棘突间置入动态内固定Coflex系统治疗中年腰椎旋转不稳:近期腰椎稳定性评价 |
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| 引用本文： | 管华清,杨惠林,徐耀增,杨同其. 腰椎棘突间置入动态内固定Coflex系统治疗中年腰椎旋转不稳:近期腰椎稳定性评价[J]. 中国组织工程研究与临床康复, 2011, 15(9): 1575-1578. DOI: 10.3969/j.issn.1673-8225.2011.09.014 |
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| 作者姓名： | 管华清 杨惠林 徐耀增 杨同其 |
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| 作者单位： | 苏州大学附属第一医院骨科,江苏省苏州市,215006 |
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| 摘 要： | 背景:腰椎棘突间动态内固定Coflex系统主要用于治疗轻度腰椎管狭窄病例,其适应范围是否可有进一步的扩大?目的:观察腰椎棘突间动态内固定Coflex系统治疗中年腰椎旋转不稳的近期疗效。方法:对腰椎旋转不稳的11例中年患者行Coflex内固定术,均为L4～5节段性不稳定。所有患者术前及术后均行日本骨科学会(JOA)评分;观测影像指标包括手术前术后椎间隙中立角,过伸角,过屈角和L4～5活动度。观察手术时间,术中出血量。结果与结论:全部患者随访6个月。Coflex置入时间平均72.6min,平均出血85.7mL。术后6个月随访时,JOA评分由术前14.45±2.42提高到21.00±2.24,差异有显著性意义(P<0.05)。L4～5活动度由术前(13.18±2.04)°减少到(8.09±0.94)°,差异有显著性意义(P<0.05)。提示腰椎棘突间动态内固定Coflex系统治疗中年腰椎旋转不稳的近期疗效良好,腰椎稳定性有明显提高,中远期疗效尚待观察。
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| 关 键 词： | 动态内固定 腰椎 Coflex系统 不稳 棘突间,内 |
Coflex interspinous process dynamic internal fixation for the treatment of middle-aged lumbar rotation instability: Short-term lumbar stability evaluation |
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| Guan Hua-qing,Yang Hui-lin,Xu Yao-zeng,Yang Tong-qi. Coflex interspinous process dynamic internal fixation for the treatment of middle-aged lumbar rotation instability: Short-term lumbar stability evaluation[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(9): 1575-1578. DOI: 10.3969/j.issn.1673-8225.2011.09.014 |
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| Authors: | Guan Hua-qing Yang Hui-lin Xu Yao-zeng Yang Tong-qi |
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| Affiliation: | Guan Hua-qing,Yang Hui-lin,Xu Yao-zeng,Yang Tong-qi Department of Orthopedics,First Hospital of Soochow University,Suzhou 215006,Jiangsu Province,China |
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| Abstract: | BACKGROUND:Coflex interspinous dynamic internal fixation is mainly applied for degenerative lumbar spinal stenosis patients.It remains unclear whether the indication of Coflex can be enlarged.OBJECTIVE:To evaluate the early clinical results of Coflex interspinous dynamic internal fixation for middle-aged lumbar rotation instability.METHODS:A total of 11 middle-aged patients with lumbar rotation instability were treated with Coflex interspinous dynamic internal fixation.The operation levels were all at L4-5 ... |
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