Effect of percutaneous nailing combined with unilateral fenestration and decompression for bilateral lumbar spinal stenosis
10.3969/j.issn.1006-5725.2018.08.016
- VernacularTitle:经皮置钉联合单侧开窗跨顶减压治疗双侧腰椎管狭窄症的疗效
- Author:
Yongxi CHEN
1
;
Haibiao QIN
;
Haoran QIN
;
Jiading WEI
;
Shuanhu FU
;
Liang WU
;
Quan-Sheng SONG
;
Dahan LU
;
Jin GU
Author Information
1. 广西中医药大学第一附属医院骨一科 南宁530003
- Keywords:
bilateral lumbar spinal stenosis;
Into the pedicle screw;
laminectomy;
spinal trans api-cal decompression
- From:
The Journal of Practical Medicine
2018;34(8):1289-1293
- CountryChina
- Language:Chinese
-
Abstract:
Objective Clinical study on the treatment of bilateral lumbar spinal stenosis with percutane-ous fixation combined with unilateral open-ended spinal canal decompression. Methods 126 patients with bilater-al lumbar spinal stenosis admitted to our hospital were randomly divided into two groups.The observation group was treated by percutaneous nail combined with unilateral laminar fenestration,and the control group was treated by open reduction combined with bilateral hemi laminectomy and spinal canal decompression.The two groups of pa-tients with general surgical complications after treatment,index,lumbago and leg pain VAS score and ODI score were compared.Results The operation time of the observation group,the amount of bleeding,the time of hospital-ization and the cost of hospitalization were less than those of the control group.There were no complications such as incision infection after operation in the two groups.The two groups were statistically significant postoperative pain and leg pain VAS score and ODI score compared with preoperative difference.The two groups had statistical signifi-cance between low back and leg pain VAS score and ODI score after 6 and 12 months and last follow-up phase dif-ference.But the two groups after 3 months of lumbago and leg pain VAS score and ODI score had no significant dif-ference.Conclusions Percutaneous minimally invasive nail combined with unilateral laminar fenestration and de-compression for bilateral lumbar spinal stenosis has the advantages of less trauma,less bleeding,shorter hospitaliza-tion time and quicker recovery.It is worthy of clinical promotion.
