Clinical Comparative Study Of Whole Vertebral Plate Resection And Semi-vertebral Plate Resection Decompression Intervertebral Bone Graft Fusion And Internal Fixation

Objective Observation using the single segment whole vertebral plate resection decompression intervertebral bone graft fusion and internal fixation with semi-vertebral plate resection decompression intervertebral bone graft fusion and internal fixation, two different kinds of the curative effect of surgical treatment of lumbar spinal stenosis disease and postoperative fusion, for clinical surgery for lumbar spinal stenosis disease provides new train of thought.Methods This research adopts the comparison before and after operation and parallel comparison test method.A retrospective summary analysis between September 2013 and June 2013 was conducted in the affiliated hospital of shandong university of TCM spinal orthopedic surgical treatment of lumbar spinal stenosis disease patient 82 examples, the application of single segment full lamina resection decompression intervertebral bone graft fusion and internal fixation group(group A) 48 cases, single segment half lamina resection decompression intervertebral bone graft fusion and internal fixation(group B) 34 cases in Japan are calculated respectively before and after surgery orthopedics society of low back pain score(JOA) visual analogue scale(VAS score) and Oswestry disability index score, calculate each patient operation time and blood loss, postoperative and two groups of patients after 6 months to 12 months and 18 months follow-up, respectively recorded in three follow-up CT sagittal reconstruction display information as observation data fusion Applying data from SPSS17.0 statistical software for statistical analysis, to compare two groups of patients with clinical symptoms improve the situation Nervous function recovery and the status of the intervertebral fusionResult1.In terms of surgery, blood loss, blood loss of group B, 457, 92 mm, the blood loss of group A, 546, 122 mm, blood loss less than blood loss of group A, group B, both statistically significant(P < 0.05).2.In terms of operation time, group B 63.4±19.8 min, A group of 54.8±16.9 min, time is longer than group A, group B, both statistically significant(P < 0.05).3.In the JOA score VAS score and Oswestry scores, between group A and B way is no statistical difference(P > 0.05), but the two groups of patients after the operation of three marks are obviously improved compared with preoperative, comparison in the group had significant difference(P < 0.05).4.In terms of fusion rates,group A at the time of 6 months、12 months、18 months,fusion rates is respectively 45.83%、70.83%、93.66%;group B at the time of 6 months、12 months、18 months,fusion rates is respectively 61.76%、79.41%、97.05%;group B is better than group A.Both statistically significant(P < 0.05)Conclusion in terms of surgical blood loss postoperative fusion rate, half lamina resection of vertebral canal decompression intervertebral bone graft fusion and internal fixation is good throughout the lamina excision of vertebral canal decompression intervertebral bone graft fusion and internal fixation, but in terms of operation time, the whole lamina excision of vertebral canal decompression intervertebral bone graft fusion and internal fixation is better than half lamina resection of vertebral canal decompression intervertebral bone graft fusion and internal fixation. In terms of symptoms improve neural function recovery, the two can achieve the same effect Use to remove half vertebral plate can increase the rate of intervertebral fusion, which can guarantee the long-term curative effect Reason should be based on auxiliary examination in patients with symptoms and signs, find more suitable for patients with personalized surgical plan By man and rule, and to reduce the damage to the organization, so as to obtain satisfactory curative effect.