The application of limited decompression,fixation and fusion on the patients with degenerative lumbar spinal stenosis
10.3760/cma.j.issn.1008-6706.2014.16.023
- VernacularTitle:有限减压、固定、融合术在退行性腰椎管狭窄症治疗中的应用
- Author:
Xinyu CHEN
- Publication Type:Journal Article
- Keywords:
Spinal stenosis;
Limited decompression
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(16):2449-2450,2451
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effectiveness of limited decompression ,fixation and fusion on the patients with degenerative lumbar spinal stenosis .Methods 92 patients with degenerative lumbar spinal stenosis were ran-domly divided into two groups,the observation group(n=46 cases) who were operated through limited decompres-sion,fixation and fusion,and the control group(n=46 cases) who were operated through the lamina resection decom-pression and internal fixation and interbody fusion .Two groups were observed about surgery time ,blood loss and length of hospital stay.Follow-up for 6 months,the two groups of JOA score was compared.Results In the observation group,operative time,blood loss and length of hospital stay were shorter than that of the control group ( t=6.092, 7.114,3.714,all P<0.05).The average follow-up of six months,the two groups of preoperative JOA score and VAS scores were not significantly different (all P>0.05).After 1 month,3 months after operation,the JOA score was no significant difference between the observation group and the control group (t=0.810,0.901,P>0.05).JOA score in the observation group after 6 monthe of operation was higher (t=4.014,P<0.05).After 6 months,excellent rates were 78.3%in the observation group and 67.4%in the control group .The observation group was significantly higher than the control group (χ2 =7.210,P<0.05).Conclusion Limited decompression,fixation and fusion had a low trauma and significant effect for patients with degenerative lumbar spinal stenosis .
