青少年腰椎间盘突出症Waveflex动态固定
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薛海鹏,医学博士,副主任医师,研究方向:脊柱外科,(电话)13287711511,(电子信箱)13287711511@163.com

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R681.53

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济南市科技发展计划项目(编号:202019148);徐展望全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75 号);山东中医药大学青年创新团队项目


Waveflex dynamic fixation for lumbar disc herniation in adolescents
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    摘要:

    目的]评估 Waveflex 动态固定系统治疗青少年腰椎间盘突出症短期疗效。[方法]回顾性分析 2017 年 6 月—2020 年 12 月采用 Waveflex 动态固定系统结合椎板间扩大开窗髓核摘除治疗青少年椎间盘突出 23 例患者的临床资料,评估其临床与影像结果。[结果]23 例患者均顺利完成手术,无严重并发症,手术时间(73.8±5.5)min, 术中出血量(131.7±22.4)ml,随访时间 12~36 个月。随时间推移 (术前、术后 6 个月和末次随访),腰痛 VAS 评分 [(5.4±1.0), (2.3±0.6), (1.5±0.6), P<0.001]、腿疼 VAS 评分 [(6.5±0.9), (2.4±0.6), (1.4±0.5), P<0.001] 和 ODI 评分 [(59.0±4.8), (19.7±2.9), (13.0±3.0), P<0.001] 均显著减少。影像方面, 术后椎间隙高度 [(8.6±1.6)mm, (10.4±1.4)mm, (10.1±1.5)mm, P<0.001]、腰椎前凸角 [(18.3±8.6)°, (24.7±7.4)°, (23.9±6.4)°, P<0.001] 和患椎间隙 Pfirrmann 分级(I/II/III/IV/V)[(0/6/15/2/0), (1/10/9/3/0), (2/13/4/4/0), P=0.009] 较术前显著改善。[结论] Waveflex 动态固定治疗青少年腰椎间盘突出症短期临床疗效良好,有利于维持椎间隙高度,延缓椎间盘退变。

    Abstract:

    [Objective] To evaluate the short-term clinical outcomes of WaveflexTM spinal system in the treatment of lumbar disc herni- ation in of adolescent. [Methods] A retrospective study was conducted on 23 adolescent patients who received extended interlaminar fenes- trated discectomy combined with internal fixation with WaveflexTM spinal system for intervertebral disc herniation in our hospital from June 2017 to December 2020. The clinical and imaging data were evaluated. [Results] All the 23 patients were successfully operated on without serious complications, whereas with the operation time of (73.8±5.5) min, and the intraoperative blood loss of (131.7±22.4) ml, and followed up from 12 to 36 months. As time went by (preoperative, 6 months after surgery and the last follow-up), the VAS score for lumbago [(5.4± 1.0), (2.3±0.6), (1.5±0.6), P<0.001], the VAS score for leg pain [(6.5±0.9), (2.4±0.6), (1.4±0.5), P<0.001], and ODI scores [(59.0±4.8), (19.7±2.9), (13.0±3.0), P<0.001] were significantly reduced. Radiographically, the height of the intervertebral disc [(8.6±1.6)mm, (10.4±1.4) mm, (10.1±1.5)mm, P<0.001] , the lumbar lordotic angle [(18.3±8.6)°, (24.7±7.4)°, (23.9±6.4)°, P<0.001] , and Pfirrmann grade of disc de- generation (I/II/III/IV/V) [(0/6/15/2/0), (1/10/9/3/0), (2/13/4/4/0), P=0.009] significantly improved postoperatively compared with those pre- operatively. [Conclusion] This waveflex dynamic fixation does achieve satisfactory clinical consequences in short term for adolescent lum- bar disc herniation, which might be beneficial to maintain the height of intervertebral space and delay the degeneration of intervertebral disc.

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薛海鹏,吴燕,赵霞,等. 青少年腰椎间盘突出症Waveflex动态固定[J]. 中国矫形外科杂志, 2023, 31 (9): 851-854. DOI:10.3977/j. issn.1005-8478.2023.09.17.
XUE Hai-peng, WU Yan, ZHAO Xia, et al. Waveflex dynamic fixation for lumbar disc herniation in adolescents[J]. ORTHOPEDIC JOURNAL OF CHINA , 2023, 31 (9): 851-854. DOI:10.3977/j. issn.1005-8478.2023.09.17.

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  • 收稿日期:2023-01-13
  • 最后修改日期:2023-02-16
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  • 在线发布日期: 2023-05-25
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