| 叶森,陈彦震*,赖晓榕,钟凌剑,余长章,张汉坤.斜外侧腰椎椎间融合术通道辅助腰椎爆裂性骨折的前路重建[J].脊柱外科杂志,2023,21(5):296-300. |
斜外侧腰椎椎间融合术通道辅助腰椎爆裂性骨折的前路重建  点此下载全文 (Fulltext) |
| 叶森 陈彦震* 赖晓榕 钟凌剑 余长章 张汉坤 |
| 赣南医学院附属兴国医院脊柱外科, 赣州 342400 |
| 基金项目：江西省卫生健康委员会科技计划项目（202140823） |
| DOI：10.3969/j.issn.1672-2957.2023.05.002 |
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| 摘要： |
| 目的 探讨斜外侧腰椎椎间融合术（OLIF）通道辅助腰椎爆裂性骨折前路重建的临床应用价值。方法 回顾性分析2017年12月—2022年1月收治的载荷分享分类（LSC）评分≥7分的腰椎爆裂性骨折患者41例，根据骨折AO分型，采用传统腰椎前路手术治疗12例（传统组），OLIF通道辅助腰椎前路手术治疗15例（OLIF辅助组），OLIF通道辅助腰椎前路手术并后路固定治疗14例（OLIF辅助+后路组）。记录3组患者前路手术时间、前路手术切口长度、术中出血量、手术前后Cobb角及并发症情况。结果 所有手术顺利完成，所有患者随访≥ 12个月。OLIF辅助组和OLIF辅助+后路组的前路手术时间、前路手术切口长度、术中出血量低于传统组，差异均有统计学意义（P < 0.05）。OLIF辅助+后路组术前Cobb角大于传统组和OLIF辅助组，差异均有统计学意义（P < 0.05）。3组术后1周及末次随访时Cobb角差异均无统计学意义（P > 0.05）。结论 对于LSC评分≥7分需要行腰椎前路重建手术的腰椎爆裂性骨折患者，OLIF通道辅助前路重建具有手术时间短、创伤小、出血量少等优点，且临床疗效与传统腰椎前路手术相当，值得临床推广。 |
| 关键词：腰椎 脊柱骨折 骨移植 内固定器 |
| Anterior reconstruction of lumbar burst fractures assisted by oblique lateral interbody fusion channel Fulltext |
| Ye Sen Chen Yanzhen* Lai Xiaorong Zhong Lingjian Yu Changzhang Zhang Hankun |
| Department of Spinal Surgery, Xingguo Hospital Affiliated of Gannan Medical College, Ganzhou 342400, Jiangxi, China |
| Fund Project: |
| Abstract: |
| Objective To explore the clinical value of anterior reconstruction of lumbar burst fracture assisted by oblique lateral interbody fusion（OLIF） channel. Methods From December 2017 to January 2022，41 patients with lumbar burst fractures with a load sharing classification（LSC） score≥ 7 were admitted. According to the fracture AO classification，12 patients were treated with traditional anterior surgery（traditional group），15 with OLIF channel assisted anterior surgery（OLIF assisted group），and 14 with OLIF channel assisted anterior surgery and posterior fixation（OLIF assisted and posterior group）. The anterior surgical time，length of anterior incision，intraoperative blood loss，Cobb angle before and after surgery，and complications in the 3 groups were recorded. Results All the operations were successfully completed，and all the patients were followed up for more than or equal to 12 months. The OLIF assisted group and OLIF assisted and posterior group had lower anterior surgical time，length of anterior incision and intraoperative blood loss compared to the traditional group，all with a statistically significant difference（P < 0.05）. The preoperative Cobb angle of the OLIF assisted and posterior group were higher than those of the traditional group and OLIF assisted group，and the differences were statistically significant（P < 0.05）. There was no statistically significant difference in Cobb angle between the 3 groups at postoperative 1 week and final follow-up（P > 0.05）. Conclusion For patients with lumbar burst fractures with LSC score≥7 who require anterior lumbar reconstruction，OLIF channel assisted anterior reconstruction has the advantages of short surgical time，minimal trauma and less intraoperative blood loss，and its clinical efficacy is comparable to traditional anterior lumbar surgery，thus being worthy of clinical promotion. |
| Keywords:Lumbar vertebrae Spinal fractures Bone transplantation Internal fixators |
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