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经后路腰椎椎体间融合术植入单侧或双侧椎间融合器治疗腰椎滑脱合并腰椎管狭窄症的对比研究.pdf

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经后路腰椎椎体间融合术植入单侧或双侧椎间融合器治疗腰椎滑脱合并腰椎管狭窄症的对比研究.pdf

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经后路腰椎椎体间融合术植入单侧或双侧椎间融合器治疗腰椎滑脱合并腰椎管狭窄症的对比研究.pdf

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文档介绍:158 实用医院临床杂志2022年3月第19卷第2期
经后路腰椎椎体间融合术植入单侧或双侧椎间融合器
January 2018 to January 2021 in Sec­
ond People's Hospital of Deyang City were selected. The patients were implanted with unilateral interbody fusion cage ( unilateral
group, n = 90) or bilateral interbody fusion cage ( bilateral group, n = 71) . Visual analogue scale ( VAS) , ODI disability index, MOS
item short from health survey ( SF-36) , operation time, intraoperative blood loss and hospital stay were used to evaluate the clinical
effects of the two methods. Results The operation was smooth without obvious complications such as infection, loosening of internal
fixation and neurological symptoms. Compared with the unilateral group, the bilateral group had longer operation time and more blood
loss during operation ( P<) . The VAS , ODI and SF-16 scores of the two groups after 3 months of surgery and at the last follow-up
were improved compared with those before surgery ( P<) , but the difference between the groups was not statistically significant ( P
>) . Conclusion PLIF with unilateral interbody fusion and bilateral interbody fusion in the treatment of DS combined with LSS
can effectively improve the spinal stability, relieve the pain, improve the postoperative function, and improve the quality of life. How-
ever, unilater