余将明;朱云荣;许鹏;王会学;蒋玉权;许国华;何海龙;叶晓健;

• 1:第二军医大学长征医院骨科

摘要(Abstract)：

[目的]探讨采用Coflex棘突间动态内固定植入术与传统PLIF术治疗单节段腰椎管狭窄症的疗效并进行对比研究。[方法]术前准确定位手术减压节段后分别采用腰后路减压Coflex棘突间动态内固定植入术(Coflex组)及腰后路减压植骨融合内固定术(PLIF组)治疗单节段腰椎管狭窄症72例,观察两组手术时间、出血量及并发症的差异;术前、术后随访时分别采用VAS评分和ODI进行相关功能评价;通过影像学观察手术节段及上邻节段术前、术后屈伸活动度变化。[结果]两组患者术后VAS、ODI评分均较术前明显下降(P<0.01),术后功能恢复无明显差异(P>0.05),而Coflex组手术时间、出血量均较传统PLIF组减少(P<0.01);术后1年Coflex组手术节段活动度与术前相比减少(P<0.05),PLIF组上邻椎间运动幅度组较术前增加(P<0.05),而Coflex组稍减少,与术前相比无明显差异(P>0.05)。[结论]Coflex棘突间内固定技术治疗单节段腰椎管狭窄症疗效好,并且具有手术时间短,出血量小,能保留手术节段一定的活动度,对上邻节段活动度影响小等优点。

关键词(KeyWords)： 腰椎管狭窄症;Coflex;棘突间动态内固定;手术治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 余将明;朱云荣;许鹏;王会学;蒋玉权;许国华;何海龙;叶晓健;

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参考文献(References)：

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