Intervertebral bone graft with internal fixation has advantages in the treatment of lumbar spinal stenosis
10.3969/j.issn.2095-4344.2013.31.020
- VernacularTitle:椎间植骨内固定治疗腰椎管狭窄症的优势☆
- Author:
Xin CHEN
;
Bo HUANG
;
Haiwu WAN
- Publication Type:Journal Article
- Keywords:
organ transplantation;
organ transplantation academic discussion;
intervertebral bone graft;
internal fixation;
lumbar spinal stenosis;
posterior decompression;
fusion;
lower back pain;
intermittent claudication;
cerebrospinal fluid leak;
epidural hematoma
- From:
Chinese Journal of Tissue Engineering Research
2013;(31):5705-5710
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Lumbar spinal stenosis can severely affect the activities and functions of the lower limbs, and even cause paralysis. OBJECTIVE:To evaluate the clinical effect of intervertebral bone graft with internal fixation for the treatment of lumbar spinal stenosis. METHODS:The lumbar spinal stenosis patients treated with posterior decompression and intervertebral bone graft with internal fixation were fol owed-up. The effect of intervertebral bone graft with internal fixation for the treatment of lumbar spinal stenosis was evaluated through assessing the clinical symptoms and improvement of signs, recovery of neurological function, as wel as intervertebral bone graft and fusion and the occurrence of complications. The effects of posterior decompression and intervertebral bone graft with internal fixation and simple decompression for the treatment of lumbar spinal stenosis were compared, in order to further determine the treatment of intervertebral bone graft with internal fixation. RESUTLS AND CONCLUSION:The fol ow-up results of the lumbar spinal stenosis patients treated with posterior decompression and intervertebral bone graft with internal fixation showed that the symptoms of low back pain, partial limb sensory disturbances and intermittent claudication were improved significantly;the neurological recovery score could be up to 90%or above. Radiographic examination showed good intervertebral bone graft and fusion with less complication of nerves, blood vessels and dural injury. Comparative study showed that the excel ent and good rate of posterior decompression and intervertebral bone graft with internal fixation can reach to 95.2%, while the excel ent and good rate of simple decompression was 23.8%, indicating that the effect of posterior decompression and intervertebral bone graft with internal fixation was significantly better than that of simple decompression.
