后路椎体间cage融合术与后外侧融合术治疗下腰椎退变性疾病的临床疗效比较

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1、DegenerativeDiseaseofLowerLumbarTreatedwithPosteriorLumbarInterbodyFusionwithInterbodyFusionCageandPosterolateralFusion：aComparativeStudy"fanXiaokangABSTRACTObjective：Toevaluatetheclinicaltherapeuticeffectofposteriorlumbarinterbodyfusionwithinterbodyfusioncageandpost

2、erolateralfusioninthetreatmentofthedegenerativediseaseoflowerlumbar．Andtocomparethetreatmentresultsandapplicationrangeofthem．Methods：Atotalof60patientswiththedegenerativediseaseoflowerlumbarhadposteriorlumbarinterbodyfusionwithinterbodyfusioncageorposterolateralfusio

3、nindepartmentoforthopedics，ZhangzhouHospitalofTCM，FujianProvincefromJanuary2006--。December2008wereseleeted．Dividedintotwogroups，groupAwastreatmentbyreductionofposteriorlumbarinterbodyfusion,andgroupBwastreatmentbyreductionofposterolateralfusion．Byreviewingthedataofca

4、sesandtheX—ray,hemorrhageamount，operationtime，surgicalcomplication；andrelativediscspaceheight，Boxallindex，ODIscorepreoperativelyandpostoperativelyaswellasatfollow-up；andbonefusionrate，changeofJOAsco血gweremeasured．111edatawereanalyzedbystatistics．Results：Betweenthetwo

5、groups，thereWassignificantdiference(P<0．05)intermsofhemorrhageamount，operationtime，andtherewasnosignificantdiferencc(P>0．05)intermsofsurgicalcomplication．IngroupA，including32patients，relativediscspaceheightwasO．694-0．05preoperatively,and1．22+0．07postoperatively,and1．

6、204-0．06atfinalfollow-up；BoxallindexWas(21士7)％preoperatively,and(34-1)％postoperatiVely；and(4士2)％atfinalfollow—up；ODIscorewas(39．524-17．38)％preoperatively,and(19．624-6．06)％postoperatively,and(10．69a：3．79)％atfinalfollow-up．IngroupB，including28patients，relativediscspace

7、heightwasO．704-0．07preoperatively,and1．18+0．06postoperatively,and1．164：0．07atfinalfollow—up；Boxallindexwas(204-7)％preoperatively,and(54-2)％postoperatively,and(64-3)％atfinalfollow—up；ODIscorewas(38．66士15．84)％preoperatively,and(23．104-9．03)％postoperatively,and(12．304-5

8、．07)％atfinalfollow—up．Ineachgroup，therewasverysignificantdifference(P<0．01)betweenpreoperationandpostoperationandbetweenpreoperatio