Curative effect of short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation in treatment of lumbar spine instability
10.3760/cma.j.issn.1008-6706.2015.09.031
- VernacularTitle:短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症的疗效观察
- Author:
Qian ZHANG
;
Jie ZHANG
;
Baojian LI
;
Guihai HU
- Publication Type:Journal Article
- Keywords:
Spinal diseases;
Laminectomy;
Spinal fusion;
Internal fixators
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(9):1367-1369
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect of short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation in treatment of lumbar spine instability.Methods 100 cases with lumbar instability were randomly divided into the study group and control group with 50 cases in each group,the study group was treated with short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation for treatment,while the control group was treated with conventional methods of treatment.The intraoperative,postoperative situation and clinical efficacy of the two groups were observed and compared.Results The operation time,intraoperative bleeding,drainage,hospital stay and cost of hospitalization of the study group were (121.31 ± 13.73) min,(151.24 ± 24.65) mL,(35.34 ± 6.79) mL,(12.03 ± 3.22) d and (22 012.23 ± 3 018.67)yuan respectively,which were significantly lower than those of the control group[(161.32 ± 11.60) min,(201.32 ± 25.46) mL,(102.35 ± 11.87) mL,(19.42 ± 4.31) d and (26 278.65 ± 3 216.53) yuan] (t =9.829,10.829,7.984,10.983,9.593,all P ＜0.05).The excellent and good rate of the study group was 92％,which was significantly higher than 70％ of the control group (x2 =13.927,all P ＜ 0.05).Conclusion Short segment of unilateral laminectomy decompression of intervertebral bone graft fusion has a high curative effect in the treatment of lumbar instability,with short operation time and hospitalization time,less blood loss and postoperative drainage volume,low medical cost,which is a good operation scheme.
