后路椎弓根螺钉置入修复术治疗老年脊柱退行性腰椎管狭窄症的临床效果

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Abstract Objective To study the effect of posterior pedicle screw placement on pain digit score (NRS score)and disability index score (ODI score)in elderly patients with spinal degenerative lumbar spinal stenosis.Methods From July 2014 to July 2016,78 cases of senile spinal degenerative lumbar spinal stenosis treated in our hospital were selected as the research subjects.According to the treatment of the patients,they were divided into the control group (38 cases)and the observation group (40 cases).Patients in the control group were treated with conservative treatment,and patients in the observation group were treated with posterior pedicle screw placement.The therapeutic effects of the two groups were compared.Results The curative effect of the observation group was 92.86%,which was significantly higher than the control group of 71.05%,the difference was statistically significant(P＜0.05).The NRS and ODI scores of the two groups were not significant before the treatment（P＞0.05）.After one month of treatment,the NRS score and ODI score of the patients in the observation group were significantly lower than those in the control group (P＜0.05).Conclusion Posterior pedicle screw placement prosthesis for elderly patients with spinal degenerative lumbar spinal stenosis disease treatment effect is better,which can effectively reduce the pain of patients,improve the lumbar vertebral function obstacle,with good safety,high clinical application value.

Key words： Posterior pedicle screw placement Conservative treatment Senile spinal degenerative lumbar spinal stenosis NRS score ODI score

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	WANG Zhi-qian
	ZHAO An-ju

Cite this article:

WANG Zhi-qian,ZHAO An-ju. Clinical effect of posterior pedicle screw placement in the treatment of patients with senile spinal degenerative lumbar spinal stenosis[J]. 中国当代医药, 2018, 25(14): 48-50.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I14/48

[1]	江辉，王祥善.后路椎弓根螺钉置入修复术治疗老年脊柱退行性腰椎管狭窄症临床效果观察[J].现代医药卫生，2017，33（3）：435-436.
[2]	李志琳，甄平，钱济先，等.Coflex植入术与Quadrant通道下TLIF结合经皮Sextant椎弓根螺钉治疗退行性腰椎管狭窄症的疗效对比[J].现代生物医学进展，2012，12（30）：5902-5906.
[3]	俞宏保.腰椎后路减压内固定融合术治疗退行性腰椎管狭窄症患者的价值[J].医疗装备，2016，29（21）：89-90.
[4]	毛路，杨惠林，王根林，等.单双侧椎弓根螺钉椎体问融合术治疗腰椎退行性疾病的疗效比较[J].中华临床医师杂志（电子版），2012，6（2）：328-332.
[5]	Rao PJ，Mobbs RJ.The “TFP” fusion technique for posterior 360°lumbar fusion：a combination of open decompression，transforaminal lumbar interbody fusion，and facet fusion with percutaneous pedicle screw fixation[J].Orthop Surg，2014，6（1）：54-59.
[6]	陈康武，张凯，陈昊，等.椎弓根螺钉内固定联合腰椎后路椎间融合治疗高龄退行性腰椎滑脱症[J].中国组织工程研究，2017，21（23）：3688-3693.
[7]	Di Silvestre M，Lolli F，Bakaloudis G，et al.Degenerative lumbar scoliosis in elderly patients：dynamic stabilization without fusion versus posterior instrumented fusion[J].Spine J，2014，14（1）：9-10.
[8]	杨雯栋，冯敬，杨启远，等.老年退行性腰椎管狭窄症患者围手术期心理状况评估[J].四川精神卫生，2017，30（4）：345-347.
[9]	Cha JR，Kim YC，Jang C，et al.Pedicle screw fixation and posterior fusion for lumbar degenerative diseases：effects on individual paraspinal muscles and lower back pain;a single-center，prospective study[J].BMC Musculoskelet Disord，2016，6（17）：63-64.
[10]	He EX，Cui JH，Yin ZX，et al.A minimally invasive posterior lumbar interbody fusion using percutaneous long arm pedicle screw system for degenerative lumbar disease[J].Int J Clin Exp Med，2014，7（11）：3964-3973.
[11]	Wang MY，Vasudevan R，Mindea SA，et al.Minimally invasive lateral interbody fusion for the treatment of rostral adjacent-segment lumbar degenerative stenosis without supplemental pedicle screw fixation[J].J Neurosurg Spine，2014，21（6）：861-866.
[12]	张良，孙常太，徐宏兵，等.C臂透视计算机辅助导航对老年人腰椎椎弓根螺钉置入术及手术疗效的影响[J].中华老年医学杂志，2012，31（3）：215-217.
[13]	Wang Q，Liu J，Fan R，et al.Tranexamic acid reduces postoperative blood loss of degenerative lumbar instability with stenosis in posterior approach lumbar surgery：a randomized controlled trial[J].Eur Spine J，2013，22（9）：2035-2038.
[14]	Wu H，Yu WD，Jiang R，et al.Treatment of multilevel degenerative lumbar spinal stenosis with spondylolisthesis using a combination of microendoscopic discectomy and minimally invasive transforaminal lumbar interbody fusion[J].Exp Ther Med，2013，5（2）：567-571.
[15]	鲁驷原，熊福军，周劲松，等.老年退行性腰椎管狭窄症应用全椎板切除脊柱内固定治疗的疗效观察[J].河北医学，2017，23（9）：1429-1433.
[16]	Kim HJ，Bak KH，Chun HJ，et al.Posterior interspinous fusion device for one-level fusion in degenerative lumbar spine disease：comparison with pedicle screw fixation-preliminary report of at least one year follow up[J].J Korean Neurosurg Soc，2012，52（4）：359-364.