Preliminary evaluation of posterior dynamic lumbar stabilization in lumbar degenerative disease in C

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:zhangliu2009
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background There has been some controversy related to the use of the Wallis system,rather than disc fusion in the treatment of patients with degenerative spine disease.Furthermore,there are no reports concing the application of this dynamic stabilization system in Chinese patients,who have a slightly different lifestyle with West patients.The aim of this study was to assess the safety and efficacy of the dynamic stabilization system in the treatment of degenerative spinal diseases in Chinese patients.Methods The clinical outcomes of 20 patients with lumbar degenerative disease treated by posterior decompression with the Wallis posterior dynamic lumbar stabilization implant were studied.All of the patients completed the visual analogue scale and the Chinese version of the Oswestry Disability Index.The following radiologic parameters were measured in all patients:global lordotic angles and segmental lordotic angles (stabilized segments,above and below adjacent segments).The range of motion was then calculated.Results Nineteen patients (95%) were available for follow-up.The mean follow-up period was (27.25±5.16) months (range 16-35 months).The visual analogue scale decreased from 8.55±1.21 to 2.20±1.70 (P <0.001),and the mean score on the Chinese version of the Oswestry Disability Index was improved from 79.58%±15.93% to 22.17%±17.24% (P <0.001).No significant changes were seen in the range of motion at the stabilized segments (P=0.502) and adjacent segments (above,P=0.453; below,P=0.062).The good to excellent result was 94.4% at the latest follow-up.No complications related to the use of the Wallis posterior dynamic lumbar stabilization occurred.Conclusions It was found to be both easy and safe to use the Wallis posterior dynamic lumbar stabilization implant in the treatment of degenerative lumbar disease,and the early therapeutic effectiveness is good.The Wallis system provides an altative method for the treatment of lumbar degenerative disease.
其他文献
目的了解南通市港闸区7~14岁中小学生的健康状况,为相关部门制定政策提供科学依据。方法利用南通市学生体质健康监测项目采集的数据,对身高、体质量、近视和龋齿等指标进行统
Background The aim of this research was to determine the efficacy of combination therapy using an alginate dressing and mouse epidermal growth factor (mEGF) on
Background Proper rotational alignment during total knee arthroplasty (TKA) is important for adequate postoperative patellofemoral and tibiofemoral kinematics,a
膝关节是人体最重要的关节之一,膝关节的病损将影响患者的生活质量.对严重病变的膝关节以保守治疗及传统的手术方法,不能改善患者的生活质量.本院对10例膝关节病损患者实施人
邻里社区(即“社区”)作为城市的基本组成单元,其生存发展状态与整个城市的发展息息相关、密不可分。然而,我们对当代都市邻里社区的历史发展轨迹、地方政治、社区组织、社会阶层
期刊
本文在叙述哈密市伊州区地下水资源利用现状的基础上,探讨研究哈密市伊州区地下水开采利用中存在的问题,并提出了地下水开采利用的对策,以期为此类地下水资源管理工作提供借
期刊
Background Very few researchers have studied the changes in peripheral lymphocyte patts in adult tuberculosis (TB) and even less researches have been conducted
Background Osteopontin (OPN) is a secreted phosphoglycoprotein (SSP) that is overexpressed in a variety of tumors and was regarded as a molecular marker of tumo