摘要
目的:探究棘突骨块在腰椎后路椎体间融合术中的应用。方法:选取70例行腰椎后路椎体间融合术治疗的患者为研究对象,采用随机数字表法分为常规组与干预组,每组35例,给予常规组Cage植骨融合,干预组给予自体棘突骨块融合,随访两组患者6~24个月,对比治疗效果。结果:干预组优良率为94.29%,与常规组91.43%相比,差异无统计学意义(P>0.05)。干预组术后12个月VAS疼痛评分、椎间高度、腰椎前凸角与常规组相比,差异无统计学意义(P>0.05)。干预组植骨融合率为94.29%,常规组植骨融合率为91.43%,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:Cage植骨融合与自体棘突骨块融合均可用于腰椎后路椎体间融合术,效果相似。
Objective: To explore application of interspinous bone blocks in the posterior lumbar interbody fusion. Methods: 70 patients, who underwent the posterior lumbar interbody fusion, were selected as the study subjects. They were divided into conventional group (n=35) and intervention group (n=35) according to the random number table method. The conventional group was given the conventional cage fusion with bone grating, while the intervention group used the autologous interspinous block fusion. The two groups were followed up for 6 to 24 months to compare the therapeutic effects. Results: The excellent and good rates of the intervention group and the conventional group were 94.29% and 91.43%, respectively, and the difference was not statistically significant (P>0.05). After the intervention, there were no significant differences in the pain VAS score, intervertebral height, lumbar lordosis angle between the intervention group and the conventional group (P>0.05). The bone grafting fusion rate was 94.29% in the intervention group and 91.43% in the reference group, and the difference was not statistically significant (P>0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusions: Cage fusion with bone grafting and autologous interspinous block fusion both can be used for posterior lumbar interbody fusion with similar results.
作者
周翔
ZHOU Xiang(Luoyang Central Hospital,Luoyang 471009 Henan,China)
出处
《中国民康医学》
2019年第10期1-2,67,共3页
Medical Journal of Chinese People’s Health
关键词
腰椎后路椎体间融合术
Cage植骨融合
棘突骨块融合
Posterior lumbar interbody fusion
Cage fusion with bone grafting
Interspinous block fusion
