Case control study on intrasacrospinal muscular approach and posterior midline approach for the treatment of far lateral lumbar disc herniation
10.3969/j.issn.1003-0034.2014.09.007
- VernacularTitle:极外侧型腰椎间盘突出症椎旁肌间隙入路与后正中入路的病例对照研究
- Author:
Feng SHUANG
1
;
Jia-Guang TANG
;
Shu-Xun HOU
;
Dong-Feng REN
Author Information
1. 解放军总医院第一附属医院骨科
- Keywords:
Far lateral disc herniation;
Surgical approach;
Surgical procedures,operative
- From:
China Journal of Orthopaedics and Traumatology
2014;(9):734-737
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical outcomes of intrasacrospinal muscular approach and posterior midline ap-proach in treating far lateral lumbar disc herniation. Methods:The clinical data of 32 patients with far lateral lumbar disc her-niation underwent transforaminal lumbar interbody fusion from January 2004 to January 2011 were retrospectively analyzed. The patients were divided into intrasacrospinal muscular approach group (11 males and 6 females ) and posterior midline ap-proach group (10 males and 5 females). All patients were followed up from 12 to 18 months with an average of 15.3 months. Operative time,blood loss,postoperative draining volume were recorded and pre and post operative visual analog scale (VAS) and Oswestry Disability Index (ODI) were compared between two groups. Results:Operative time,blood loss,postoperative draining volume in intrasacrospinal muscular approach group was less than that of posterior midline approach group (P<0.05). There was no significant difference in VAS at final follow up between two groups(P>0.05);and the mean ODI in intrasacrospinal muscular approach group was less than that of posterior midline approach group (P<0.05). Conclusion:For the treatment of far lateral lumbar disc herniation,intrasacrospinal muscular approach has less injury for paraspinal muscle and more satisfactory clinical outcome and is better method than posterior midline approach.
