Early effect of lumbar dynamic fixation for treatment of lumbar disc herniation

doi:10.3969/j.issn.2095-4344.2014.40.014

Abstract

Abstract:

BACKGROUND: Currently, one of common methods is discectomy, nerve root decompression and fusion rigid fixation from the midline approach for disc herniation which is inefficient by conservative treatments. Thus, it is causing degeneration and limiting lumbar physiological activity of adjacent segments. The treatment of non-fusion lumbar disc herniation with the traditional posterior midline incision approach has some disadvantages such as big incision, wide peeling, and back muscle denervation.

OBJECTIVE: To observe therapeutic effects of dynamic stabilization system through Wiltse approach on lumbar disc herniation, and to compare the outcomes with traditional posterior approach.

METHODS: A total of 46 patients, who had undergone discectomy and internal fixation using dynamic stabilization systems for lumbar disc herniation at the Renmin Hospital of Wuhan University from January 2011 to January 2013, were enrolled in this study. The operation was performed through the traditional posterior approach in 25 patients and Wiltse approach in 21 patients.

RESULTS AND CONCLUSION: All 46 patients were followed up for 7 to 31 months (averagely, 13.8±2.4 months). The length of incision, intraoperative blood loss, and postoperative drainage amount were less in the Wiltse approach group than in the traditional posterior approach group (P < 0.05). No significant difference in visual analog scale scores and operative time was detected between the two groups at 1 week and 6 months after fixation (P > 0.05). Radiographs revealed that the position of implants was good in all patients, no loosing or breakage. These data verified that the early effect of dynamic stabilization system through Wiltse approach for lumbar disc herniation is similar to that of traditional posterior approach.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: intervertebral disk displacement, diskectomy, internal fixators, intervertebral disk degeneration

CLC Number:

R318

Ming Jiang-hua, Zhao Qi, Yang Bin, Zheng Hui-feng. Early effect of lumbar dynamic fixation for treatment of lumbar disc herniation[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(40): 6476-6481.

Figures/Tables 1

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