Core stabilization exercises, implant fixation and lumbar fusion for degenerative lumbar spondylolisthesis: lumbar function evaluation

doi:10.3969/j.issn.2095-4344.2015.31.022

Abstract

Abstract:

BACKGROUND: Lumbar degenerative disease is a common and frequently occurring disease in spinal surgery. With increasing age, the incidence rate is increased.
OBJECTIVE: To elevate clinical outcomes and improve the quality of life of patients by analyzing spinal stability after lumbar implant fixation fusion and functional training in treatment of lumbar degenerative disease.
METHODS: (1) We used a prospective randomized controlled design. The 52 patients with I° or II° degenerative lumbar spondylolisthesis were randomly divided into two groups, with 26 cases in each group. Conventional exercises were carried out in the control group and core stabilization exercises for the treatment group, with course of treatment for 24 weeks. Curative effects of numerical rating scale and the Oswestry Disability Index were compared at 6, 12 and 24 weeks after treatment respectively. (2) Spinal stability after lumbar fusion and fixation of the implant for degenerative lumbar spondylolisthesis was evaluated by database document retrieval.
RESULTS AND CONCLUSION: (1) After 24 weeks, numerical rating scale score and the Oswestry Disability Index were significantly lower in the treatment group than in the control group (P < 0.05 or P < 0.01). Core stabilization exercises apparently relieve lumbar pain and improve the ability of activities. Core stabilization exercises are better than conventional training. (2) Pedicle instrument fixation combined with interbody fusion is effective for lumbar spondylolisthesis within the second degree. Posterior interbody fusion has predominant mechanical property in maintaining spondylolisthesis orthopedic and stabilizing the structure. Correction loss and
fixation failure easily occur after posterolateral fusion, but clinical effects are not affected.

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

Key words: Lumbar Vertebrae, Degenerative Disease, Internal Fixators, Functional Training

CLC Number:

R318

Luo Sheng-fei, Zhang De-jian. Core stabilization exercises, implant fixation and lumbar fusion for degenerative lumbar spondylolisthesis: lumbar function evaluation [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(31): 5036-5040.

Figures/Tables 4

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