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摘要
Our study aimed to investigate the clinical efficacy of sight-guided translaminar facet screw fixation (TLFSF) with posterior lumbar interbody fusion (PLIF) in treating intervertebral disc herniation and lumbar vertebrae fracture. Between April 2012 and April 2014, 68 elderly patients with intervertebral disc herniation and vertebrae fracture who had undergone PLIF with sight-guided TLFSF were enrolled, as experimental group. Between April 2010 and April 2012, the control group comprised 53 subjects with the same disorders who had undergone PLIF with pedicle screw fixation. Visual analog scale (VAS) scores, disc height, facet screw position, bony fusion, complications and Japanese Orthopaedic Association (JOA) scores were collected and analyzed. No significant differences were observed in operative time, incision lengths, blood loss, drainage volume, and hospital stays between two groups. The height conducted postoperatively (P = 0.033) and at the last follow-up (P = 0.021) were significantly higher than those in control group. Comparing to controls, there was a significantly higher proportion of type I screw position which meant the screw was located in the laminar bone in experimental group (P = 0.025). Moreover, significant benefits of less pain and complications were observed in experimental, relative to control (pain: 2.1 vs. 2.8, P = 0.037; complication: 7.4% vs, 11.3%, P = 0.014). Importantly, there were higher fusion rate, higher JOA recovery rate, and more vertebral stabilization in experimental than that of controls (P < 0.05). Based on this preliminary data, TLFSF plus PLIF is an effective and minimally invasive option for treating intervertebral disc herniation combined with lumbar vertebrae fracture, with good efficacy and screw accuracy.
- 出版日期2016
- 单位山东省千佛山医院; 滨州医学院
