Spinal Canal Decompression And Interbody Fusion And Internal Fixation And Simple Decompression In The Treatment Of Lumbar Spinal Canal Stenosis Contrast Analysis

Objective: To retrospectively study of decompression and spinal canaldecompression and interbody fusion and internal fixation of two operation methods forthe treatment of lumbar spinal stenosis compared the clinical efficacy, while exploringthe operation effect of related factors.Methods: From August to2011November2009statistical analysis of income ofthe Affiliated Hospital of Shandong University of Traditional Chinese Medicine spinalorthopaedics operation therapy for the patients with lumbar canal stenosis in85cases,patients according to the selected operation is divided into different: simpledecompression group (group A), spinal canal decompression and intervertebral bonegraft fusion internal fixation group (B group); A groups according to the patients beforethe medical examination and imaging display select different decompression methods,including total laminectomy decompression and selective decompression. According tothe patient’s preoperative, postoperative JOA score and VAS differences in pain score,to compare the efficacy. Simultaneous assessment of patient age, sex, duration ofdisease, comorbidity, preoperative JOA scores and other factors on the clinicaltherapeutic effect of operation.Conclusions:The two kinds of operation methods for the treatment of lumbarspinal stenosis, the recent follow-up clinical efficacy without significant difference. Twokinds of operation methods have their different indications for operation, strict grasp theoperation indications, choice of reasonable operation mode, for the treatment of lumbarspinal stenosis are capable of achieving satisfactory curative effect. Age, diseaseduration, preoperative JOA score, comorbidities and other than the effect of operationin the treatment of lumbar spinal stenosis key factors. Clinical symptoms in theeveryday life of the influence degree of operation and the key factors to consider.Operation of decompression range selection must consider CT and MRI imagingfindings and clinical symptoms of consistency which determine the correspondingresponsibility intervertebral space, preoperative critical assessment of lumbar stability isto decide whether the internal fixation and bone grafting for key indicators.