| 摘要: |
| ［摘要］ 目的 探讨棘突间弹性固定器（Coflex）在腰椎管狭窄症病人中应用效果。方法 选取经积极保守治疗无效或效果欠佳的腰椎管狭窄症患者46例,随机分为对照组和Coflex试验组,每组23例，对照组采取常规减压钉棒系统内固定+植骨融合术；试验组采取常规减压+棘突间弹性固定器Coflex内固定。对两组术后VAS评分、手术时长、出血量、术后卧床时间进行比较和统计学分析。结果 两组术后腰腿痛症状均能获得良好的缓解且没有统计学差异；但手术时长、出血量、术后卧床时间Coflex组明显低于对照组（P<0.05）。结论 棘突间弹性固定器Coflex能为腰椎管狭窄患者提供良好的疗效。 |
| 关键词: 腰椎管狭窄症 棘突间弹性固定 |
| DOI：10.3969/j.issn.1674-3806.2010.12.13 |
| 分类号:R 681.5 |
| 基金项目: |
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| Application of interspinal elastic fixation device for the treatment of lumbar spinal stenosis |
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GUO Zhi-yong, BAI Bo, YIN Zhi-xun, et al.
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Department of Orthopaedic Surgery, the First Affiliated Hospital of Guangzhou Medical College,Guangdong 510120, China
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| Abstract: |
| ［Abstract］ Objective To investigate the applicative effect of Coflex, a interspinal flexible fixation device, in the treatment of patients with lumbar spinal stenosis.Methods After a positive but invalid conservative treatment, 46 patients with lumbar spinal stenosis were selected and randomly divided into control group and test group, with 23 cases in each group. Test group received routine decompression and Coflex fixation while the control group received routine decompression and pedicle screw fixation and fusion. The operative duration, blood loss, postoperative time in bed and postoperative VAS score were compared and statistically analyzed.Results Two groups were able to get a significant relief of back and leg pain; but the operative duration, blood loss, postoperative time in bed were significantly reduced in the test group than in the control group（P<0.05）.Conclusion The interspinal Coflex elastic fixation was an effective way for the treatment of lumbar spinal stenosis. |
| Key words: Lumbar spinal stenosis Interspinal flexible fixation |
