Minimally invasive transforaminal lumbar interbody Concorde fusion for prolapsed and sequestrated lumbar disc herniation
10.3969/j.issn.2095-4344.2017.18.002
- VernacularTitle:填塞自体骨粒的Concorde脊柱微创椎间融合器经椎间孔椎体间融合治疗脱垂游离型腰椎间盘突出症
- Author:
Hong ZHAO
;
Bin WANG
;
Zikang XIE
;
Jianda XU
;
Yuxing QU
- Keywords:
Intervertebral Disk Displacement;
Surgical Procedures;
Minimally Invasive;
Tissue Engineering
- From:
Chinese Journal of Tissue Engineering Research
2017;21(18):2796-2801
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:As one of the most serious pathological types of lumbar disc herniation, the nucleus pulposus of prolapsed style lumbar intervertebral disc herniation is like a cord or mass. And the nucleus pulposus compresses nerve roots and dural sac, which brings severe low back pain and/or cauda equina injury symptoms.OBJECTIVE:To compare the clinical efficacy of simple discectomy under the Quadrant system and minimally invasive transforaminal lumbar interbody Concorde fusion (MIS-TLIF) in the treatment of prolapsed and sequestrated lumbar disc herniation.METHODS:From January 2012 to January 2015, 58 patients with prolapsed and sequestrated lumbar disc herniation were enrolled in this study, including 36 patients in simple Quadrant group and 22 patients in MIS-TLIF group.RESULTS AND CONCLUSION:Significant difference was recorded in the visual analogue scale scores and Oswestry disability index at 1 week, 3 months and 18 months postoperation compared with preoperation in the two groups (P < 0.05). Compared with the simple Quadrant group, the visual analogue scale scores of low back pain and Oswestry disability index were significantly decreased in the MIS-TLIF group at postoperative 18 months (P < 0.05), but there was no significant difference in the visual analogue scale score of leg pain between two groups (P > 0.05). There were two patients with recurrent lumbar disc herniation in the simple Quadrant group. In summary, simple discectomy under the Quadrant system could achieve the similar satisfied effect as the MIS-TLIF, but the MIS-TLIF provides less low back pain.
