Efficacy of oblique lumbar interbody fusion for lumbar spinal stenosis
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Efficacy of oblique lumbar interbody fusion for lumbar spinal stenosis
Health Medicine Research and PracticeVol. 19, Issue 4, Pages: 55-59(2022)
作者机构:
联勤保障部队第909医院/厦门大学附属东南医院骨科
作者简介:
基金信息:
DOI:
CLC:R687.3
Published:2022,
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Chen Shaoli, Kang Yuan, Ren Miaomiao. Efficacy of oblique lumbar interbody fusion for lumbar spinal stenosis. [J]. Health Medicine Research and Practice 19(4):55-59(2022)
DOI:
Chen Shaoli, Kang Yuan, Ren Miaomiao. Efficacy of oblique lumbar interbody fusion for lumbar spinal stenosis. [J]. Health Medicine Research and Practice 19(4):55-59(2022)DOI:
Efficacy of oblique lumbar interbody fusion for lumbar spinal stenosis
Objective To investigate the effects of oblique lumbar interbody fusion treatment on the perioperative indexes
traumatic stress indexes and Oswestry dysfunction index(ODI) scores of patients with lumbar spinal stenosis. Methods Ninety patients with lumbar spinal stenosis admitted to a hospital in Zhangzhou from December 2016 to December 2019 were selected and divided into a control group(46 cases) and an observation group(44 cases) using a random number table. Patients in the control group were treated with posterior lumbar interbody fusion and patients in the observation group were treated with oblique lumbar interbody fusion
and the perioperative indexes
pre-and postoperative visual analog scale(VAS) scores
ODI scores
serum C-reactive protein(CRP) and creatine kinase(CK) levels and postoperative complications in the two groups were compared. Results The intraoperative bleeding and drainage were less in the observation group than in the control group
and the time to ambulation and hospital stay were shorter than those in the control group
all with statistically significant differences(P
<
0.05). The VAS and ODI scores at 3 and 6 months after surgery were lower than those before surgery and lower in the observation group than in the control group
with statistically significant differences(P
<
0.05). The serum CRP and CK levels in the 2 groups were higher at 12 h
24 h and 48 h after surgery than before surgery
and lower the serum CRP and CK levels at 48 h after surgery than at 12 h and 24 h after surgery
and the serum CRP and CK levels in the observation group were lower than those in the control group at 12 h
24 h and 48 h after surgery
all with statistically significant differences(P
<
0.05).The incidence of postoperative complications was 4.55%(2/44) in the observation group
which was lower than that of 15.57%(9/46) in the control group
and the difference was statistically significant(χ
=
4.729
P=0.030). Conclusion Oblique lumbar interbody fusion for lumbar spinal stenosis is safer than the posterior approach
and patients have less postoperative tissue trauma stress and less postoperative pain
which can promote the recovery of lumbar spine function.
关键词
斜外侧入路腰椎椎体间融合术腰椎管狭窄症围手术指标创伤应激ODI指数
Keywords
Oblique lateral approachLumbar interbody fusionLumbar spinal stenosisPerioperative indexTraumatic stressODI index