Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (13): 2051-2056.doi: 10.3969/j.issn.2095-4344.2015.13.016

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Posterior Isobar non-fusion internal fixation system in repair of lumbar disc herniation: more advantages in restoring range of motion of lumbar spine

Liu Yan-bin, Fu Qiang   

  1. Department of Spinal Surgery, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai 200433, China
  • Received:2015-02-27 Online:2015-03-26 Published:2015-03-26
  • Contact: Fu Qiang, Associate chief physician, Associate professor, Department of Spinal Surgery, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai 200433, China
  • About author:Liu Yan-bin, Studying for master’s degree, Department of Spinal Surgery, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai 200433, China

Abstract:

BACKGROUND: The patients with lumbar intervertebral disc protrusion can be treated with internal fixation of posterior surgery way. We can choose the conventional posterior intervertebral fusion nail stick system internal fixation. Isobar non-fusion internal fixation system was used in recent years. As a kind of a strong internal fixation of lumbar posterior dynamic screw rod fixation system, it has been gradually applied in clinic, and has been one of patient’s treatment options.
OBJECTIVE: To compare and analyze the clinical efficacy of Isobar non-fusion internal fixation system and traditional intervertebral fusion nail rod system internal fixation operation method in treatment of lumbar disc herniation.
METHODS: From September 2011 to September 2012, 40 patients with lumbar disc herniation who were treated in the Department of Orthopedic, Changhai Hospital, the Second Military Medial University of Chinese PLA were enrolled in this study. They were equally assigned to the Isobar non-fusion internal fixation system group (Isobar group) and the traditional intervertebral fusion nail rod system internal fixation group (rigid internal fixation group) and subjected to corresponding treatments.
RESULTS AND CONCLUSION: Surgery was successfully completed in patients of the two groups. These patients received at least 2 years of follow-up, no drop out. Compared with pre-fixation, low back pain Visual Analog Scale and Oswestry Disability Index were improved significantly after fixation in both groups. Compared with the rigid internal fixation group, range of motion of lumbar spine was larger in the Isobar group. Low back 
pain Visual Analog Scale and Oswestry Disability Index were similar between the two groups. These results indicated that posterior Isolbar non-fusion internal fixation obtained identical outcomes as traditional treatment, and showed more advantages in range of motion of lumbar spine.


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


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Key words: Intervertebral Disk Displacement, Spinal Fusion, Lumbar Vertebrae, Comparative Effectiveness Research

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