摘要
[目的]探讨Wallis棘突间动态稳定系统治疗腰椎退行性疾病的初期效果。[方法]分析31例单独采用Wallis棘突间动态稳定系统或结合固定融合方法治疗腰椎退行性疾病的临床疗效和初期随访结果,记录Wallis手术时间、术中出血量,采用VAS疼痛10分法和中华医学会骨科分会脊柱外科组腰椎手术疗效标准评估手术疗效,随访有无Wallis系统相关并发症及疗效。[结果]Wallis棘突间动态稳定系统手术操作简便、创伤小,术前1d、术后2周及末次随访疼痛VAS评分分别为7.9±2.0、2.6±1.2和1.7±0.8,术后末次随访功能恢复优良率为94.4%。[结论]Wallis棘突间动态稳定系统或结合固定融合方法治疗腰椎退行性疾病简便安全,初期随访疗效良好,为腰椎退行性疾病的治疗增加了一种全新的治疗选择。
[Objective] To evaluate the early effect of posterior dynamic lumbar stabilization in lumbar degenerative disease.[Methods]The clinical outcomes of 31 patients with lumbar degenerative disease treated by posterior decompression with Wallis posterior dynamic lumbar stabilization implant or combined with posterior lumbar fusion were retrospectively studied,and assessed with visual analogue scale（VAS）and spinal operative standard of Chinese Medical Association.The early effect and complications associated with Wallis posterior dynamic lumbar stabilization were recorded.[Results]The operative procedure of Wallis posterior dynamic lumbar stabilization implant was easy and less invasive.The VAS scores were 7.9±2.0,2.6±1.2 and 1.7±0.8 at one day preoperatively,two week postoperatively and final follow-up,respectively.The good to excellent result was 94.4% at the lastest follow-up.No compliction related with Wallis posterior dynamic lumbar stabilization was found.[Conclusion]It is easy and safe to use Wallis posterior dynamic lumbar stabilization in treatment of degenerative lumbar disease,and the early effect is good.The Wallis system provides an alternative for treatment of lumbar degenerative disease.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第23期1786-1788,共3页
Orthopedic Journal of China
