棘间动态系统Coflex对比传统融合固定手术治疗腰椎退行性疾病的系统综述与Meta分析Interspinal elastic device Coflex versus traditional instrumented spinal fusion for lumbar spine degenerative disease: a systematic review and meta-analysis
潘奇林;徐小雄;杨毅;李忠伟;银乐乐;左康康;王鹏;陈波;
摘要(Abstract):
[目的]系统评价Coflex与传统融合固定手术治疗腰椎退行性疾病的疗效及安全性,探讨Coflex系统对腰椎的潜在影响。[方法]通过计算机检索Pub Med和中国生物医学文献数据库(CBM)等中英文数据库以及手工检索有关Coflex系统与传统融合固定手术对比的研究和文献。采用Rev Man 5.2软件对相关结局指标进行Meta分析。[结果]分析表明Coflex与传统融合固定手术相比,末次随访腰腿部VAS、ODI评分,二者差异无统计学意义;术中出血量(P<0.0001)、手术时间(P<0.000 01)上邻节段ROM(P=0.02)、下邻节段ROM(P=0.007)差异有统计学意义。[结论]Coflex系统与传统手术的短中期疗效相当,而前者手术时间、术中出血量具有明显优势,同时Coflex系统能够使术后腰椎趋于生理状态,对邻近节段尤其是上邻节段影响小。
关键词(KeyWords): Coflex;腰椎退行性疾病;腰椎融合术
基金项目(Foundation):
作者(Author): 潘奇林;徐小雄;杨毅;李忠伟;银乐乐;左康康;王鹏;陈波;
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DOI:
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