| 王文乔,黄伟敏,于秀淳,王磊,许小多,邓勇.聚醚醚酮棒杂交手术治疗腰椎退行性疾病的中长期疗效[J].脊柱外科杂志,2023,21(1):13-20. |
聚醚醚酮棒杂交手术治疗腰椎退行性疾病的中长期疗效  点此下载全文 (Fulltext) |
| 王文乔1 黄伟敏2* 于秀淳2* 王磊2 许小多2 邓勇3 |
1. 潍坊医学院临床医学院, 潍坊 261053;
2. 中国人民解放军联勤保障部队第960医院骨科, 济南 250031;
3. 中国人民解放军联勤保障部队第960医院放射科, 济南 250031 |
| 基金项目：济南市临床医学科技创新计划项目（202134006） |
| DOI：10.3969/j.issn.1672-2957.2023.01.003 |
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| 摘要： |
| 目的 探讨聚醚醚酮（PEEK）棒杂交手术治疗腰椎退行性疾病的中长期临床疗效。方法 回顾性分析2014年4月—2016年1月在中国人民解放军联勤保障部队第九六〇医院因腰椎退行性疾病接受PEEK棒杂交手术治疗的27例患者临床资料，术前与末次随访时采用疼痛视觉模拟量表（VAS）评分和Oswestry功能障碍指数（ODI）评估腰腿痛程度及腰椎功能，记录并发症发生情况，在术前及末次随访时的影像学资料上测量相关参数评估临床疗效。结果 所有手术顺利完成，患者随访60~89（77.2±9.8）个月。27例患者共59个节段行手术治疗，其中非融合节段32个，融合节段27个。末次随访时腰腿痛VAS评分、ODI及影像学指标与术前相比明显改善，差异均有统计学意义（P < 0.05）。27个融合节段中有23个获得骨性融合，融合率为85.2%。27例患者共置入172枚椎弓根螺钉及54根PEEK棒，1例发生L5左侧椎弓根螺钉断裂，其余未发生螺钉松动或PEEK棒断裂等并发症。结论 PEEK棒杂交手术治疗腰椎退行性疾病的中长期临床疗效满意，更好地保留了固定节段活动度及非融合节段的椎间高度，融合率高且并发症少，可有效保护融合节段的相邻节段，减少邻近节段退行性变的发生。 |
| 关键词：腰椎 椎间盘退行性变 椎管狭窄 脊椎滑脱 内固定器 脊柱融合术 |
| Mid- and long-term follow-up of hybrid surgery with polyetheretherketone rods for lumbar degenerative diseases Fulltext |
| Wang Wenqiao1 Huang Weimin2* Yu Xiuchun2* Wang Lei2 Xu Xiaoduo2 Deng Yong3 |
1. Department of Clinical Medical College, Weifang Medical University, Weifang 261053, Shandong, China;
2. Department of Orthopaedics, No. 960 Hospital of Joint Logistics Support Force of Chinese PLA, Jinan 250031, Shandong, China;
3. Department of Radiology, No. 960 Hospital of Joint Logistics Support Force of Chinese PLA, Jinan 250031, Shandong, China |
| Fund Project: |
| Abstract: |
| Objective To explore the mid- and long-term clinical effect of polyetheretherketone(PEEK) rods hybrid surgery for lumbar degenerative diseases. Methods The clinical data of 27 patients who underwent PEEK rod hybrid surgery for lumbar degenerative diseases at the No. 960 Hospital of Joint Logistics Support Force of Chinese PLA from April 2014 to January 2016 were retrospectively analyzed. The visual analogue scale(VAS) score and Oswestry disability index(ODI) were used to evaluate the intensity of low back and leg pain and lumbar function at pre-operation and final follow-up. The incidence of complications was recorded. The relevant parameters were measured on the imaging data at pre-operation and final follow-up to evaluate the clinical effect. Results All the operations were successfully completed. The patients were followed up for 60-89(77.2±9.8) months. A total of 59 segments were operated in 27 patients, including 32 non-fusion segments and 27 fusion segments. At the final follow-up, VAS score of low back pain and leg pain, ODI and imaging indexes were significantly improved compared with those before operation, and the differences were statistically significant(P < 0.05). Bone fusion was obtained in 23 of 27 fusion segments, with a fusion rate of 85.2%. A total of 172 pedicle screws and 54 PEEK rods were implanted in 27 patients, and 1 patient had left pedicle screw fracture in L5. The other patients had no complications such as screw loosening and PEEK rods fracture. Conclusions PEEK rod hybrid surgery in the treatment of lumbar degenerative diseases is satisfactory in the medium and long term efficacy. It can better preserve the range of motion of the fixed segment and the intervertebral height of the non-fusion segment, and the fusion rate is high with few complications. It can effectively protect the adjacent segment of the fusion segment, and reduce the occurrence of adjacent segment degeneration. |
| Keywords:Lumbar vertebrae Intervertebral disc degeneration Spinal stenosis Spondylolysis Internal fixators Spinal fusion |
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