Efficacy and safety of extreme lateral interbody fusion in the treatment of single segment lumbar spinal stenosis

LU Hongwei; YANG Zhengwei; XU Jianzhong; HE Qingyi

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Efficacy and safety of extreme lateral interbody fusion in the treatment of single segment lumbar spinal stenosis

更新时间：2022-06-24

- Efficacy and safety of extreme lateral interbody fusion in the treatment of single segment lumbar spinal stenosis
- null Issue 10, Pages: 818(2020)
- 作者机构：
  
  陆军军医大学第一附属医院骨科,重庆,400038
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LU Hongwei, YANG Zhengwei, XU Jianzhong, et al. Efficacy and safety of extreme lateral interbody fusion in the treatment of single segment lumbar spinal stenosis. [J]. null (10):818(2020)
DOI：

LU Hongwei, YANG Zhengwei, XU Jianzhong, et al. Efficacy and safety of extreme lateral interbody fusion in the treatment of single segment lumbar spinal stenosis. [J]. null (10):818(2020) DOI：

摘要

目的观察极外侧入路腰椎椎间融合术（XLIF）治疗单节段腰椎管狭窄症的临床疗效及安全性。方法纳入2012年1月至2017年12月在我院骨科行XLIF治疗的单节段腰椎管狭窄症患者43例。记录患者手术时间、术中出血量、住院时间、VAS评分、ODI、围手术期并发症发生情况，采用X射线片和CT三维重建测量手术前后腰椎间隙高度和椎管面积，并计算术后融合率，采用改良Macnab疗效评定标准评价手术效果。结果术后随访12~36个月，平均（23.7±6.7）个月；手术时间（64.1±15.2）min，术中出血量（61.6±30.6）mL，住院时间（4.7±1.8）d；末次随访VAS评分和ODI均显著低于术前，差异具有极显著性统计学意义（P<0.01）；术后椎间隙高度、椎管面积均显著大于术前，差异具有极显著性统计学意义（P<0.01）；所有患者均未发生脑脊液漏、血肿、感染等并发症，术后切口均一期愈合；3例患者术后出现屈髋无力，6周内恢复正常。术后6个月融合率为93%，术后12个月融合率为100%。Macnab疗效评定结果显示优良率为100%。结论 XLIF具有手术时间短、术中出血少、术后恢复快、住院时间短等优点，用于治疗单节段腰椎管狭窄可获得较高的术后椎间融合率，手术安全性较高。

Abstract

关键词

微创手术极外侧入路腰椎椎间融合腰椎管狭窄症单节段CT三维重建

Keywords

minimally invasive surgeryextreme lateral approachlumbar interbody fusionlumbar spinal stenosissingle segmentCT three-dimensional reconstruction

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