Discectomy and discectomy plus Coflex fixation for lumbar disc herniation, a clinical comparison study

科研成果详情

题名	Discectomy and discectomy plus Coflex fixation for lumbar disc herniation, a clinical comparison study
作者	Ding Xu; Hua-zi Xu; Yi-heng Chen; Yong-long Chi; Wen-fei Ni; Qi-shan Huang; Xiang-yang Wang; Yan Lin; Fang-min Mao
发表日期	2013-02-01
发表期刊	Zhonghua wai ke za zhi [Chinese journal of surgery] 影响因子和分区
语种	英语
原始文献类型	Comparative Study ; English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
摘要	Objective: To compare clinical efficacy between discectomy and discectomy plus Coflex fixation for lumbar disc herniation. Methods: From December 2007 to August 2008, 50 patients (31 males and 19 females) were treated by surgery of discectomy and discectomy plus Coflex fixation. The average age was 52.5 years (range, 30 - 72 years). There were 24 cases in the group of discectomy plus Coflex fixation and 26 cases in the group of discectomy. Preoperative and postoperative visual analogue scales (VAS), Japanese Orthopadic Association (JOA) and Oswestry disability index (ODI) were recorded, as well as radiological index. And use a paired t-test and one-way analysis of variance (one-way ANOVA) statistical method to evaluate the Coflex dynamic stabilization system in value in the treatment of lumbar disc herniation. Results: Both groups received significant improvement of JOA, ODI and VAS (t = -33.2 - 64.5, P < 0.01), but the group of discectomy was found with deterioration of ODI at last follow-up, 12 months after surgery 6.7 ± 1.5 to 10.2 ± 2.3 (t = -19.3, P < 0.05). The group of discectomy plus Coflex fixation was found with significant increase of height of dorsal intervertebral discs (HD), distance across the two adjacent spinous processes (DS), distance of intervertebral foramina (DIF) and spinal canal area(SA) (t = -34.4 - 4.5, P < 0.05). In contrast, the group of discectomy was found with significant decrease of HD, DS, DIF and SA (t = 3.4 - 52.8, P < 0.05). Coflex fixed group in HD, DIF, DS significant difference with simple discectomy group, with a statistically significant (F = 14.1 - 25.6, P < 0.05). Conclusions: Both discectomy and discectomy plus Coflex fixation are apparently effective when treating lumbar disc herniation. Coflex can significantly increase the HD and DIF when used for lumbar disc herniation, and it has positive influence for keeping height of lumbar vertebral space and treating the nerve root symptom of lumbar disc herniation. Discectomy plus Coflex is better than pure discectomy in preventing lumbar degeneration.
ISSN	0529-5815
卷号	51 期号:2 页码:147-51.
收录类别	PUBMED
URL	查看原文
PubMed ID	23711009
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/62583
专题	附属第二医院_脊柱外科
作者单位	Department of Spine Surgery, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
第一作者单位	附属第二医院_脊柱外科
第一作者的第一单位	附属第二医院_脊柱外科
推荐引用方式 GB/T 7714	Ding Xu,Hua-zi Xu,Yi-heng Chen,et al. Discectomy and discectomy plus Coflex fixation for lumbar disc herniation, a clinical comparison study[J]. Zhonghua wai ke za zhi [Chinese journal of surgery],2013,51(2):147-51..
APA	Ding Xu., Hua-zi Xu., Yi-heng Chen., Yong-long Chi., Wen-fei Ni., ... & Fang-min Mao. (2013). Discectomy and discectomy plus Coflex fixation for lumbar disc herniation, a clinical comparison study. Zhonghua wai ke za zhi [Chinese journal of surgery], 51(2), 147-51..
MLA	Ding Xu,et al."Discectomy and discectomy plus Coflex fixation for lumbar disc herniation, a clinical comparison study".Zhonghua wai ke za zhi [Chinese journal of surgery] 51.2(2013):147-51..