Unilateral vertebral plate decompression, interbody fusion and pedicle screw fixation in treatment of lumbar disc berniation
10.3724/SP.J.1008.2009.00537
- Author:
He WEI
1
Author Information
1. Department of Orthopedics
- Publication Type:Journal Article
- Keywords:
Interbody fusion;
Lumbar disc herniatton;
Transpedicular screw fixation
- From:
Academic Journal of Second Military Medical University
2010;30(5):537-540
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application and efficiency of unilateral vertebral plate decompresaion,interbody fusion and pedicle screw fixation in treatment of lumbar disc herniation. Methods1From Feb. 2006 to Feb. 2008,24 patients underwent unilateral vertebral plate decompression,interbody fusion and pedicle screw fixation. The patients were followed up for one year and the following data were recorded:operation time,estimated blood loss,duration of hospital-stay,short-term and medium-term clinical outcome. Results1 All patients had their low back pain and/or lower extremity radicular pain improved during the one year follow-up. The last follow-up showed that the numbers of patients with Oswestry Disability Index( ODI) P0-PS were 5 , 11, 6, 2,0, and 0, respectively. The clinical outcomes determined by modified JOA criteria showed that 18 patients had excellent outcomes,4 had good outcomes,and 2 had fair outcomea,with the excellent and good outcomes occupying 91. 67%. Conclusion1 The unilateral fixation can be used in patients with lumbar disc herniations who need lumbar spinal fusion. The medium-term outcomes is satisfactory.
