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Intervertebral Bone Graft Fusion And Internal Fixation To Treat Lumbar Spinal Stenosis And Instability Of Disease Clinical Curative Effect Observation

Posted on:2019-05-09Degree:MasterType:Thesis
Country:ChinaCandidate:H P LinFull Text:PDF
GTID:2394330566489905Subject:Human Anatomy and Embryology
Abstract/Summary:PDF Full Text Request
Objective: Evaluation of lumbar intervertebral bone graft fusion and internal fixation to treat lumbar spinal stenosis and instability of disease clinical curative effect.Method: From 2015.03 to 2016.06 in The Wendeng Osteopath hospital diagnosis of lumbar spinal stenosis and instability of disorder in patients with subject in strict accordance with the requirements of selecting 60 cases of subjects.According to admission order number,according to random number table method randomly divided into experimental group and control group,30 cases in each group.Both groups after the hospital check downward in general anesthesia surgery.Experimental group lines of lumbar posterior vertebral canal decompression intervertebral bone graft fusion and internal fixation.Control group did lumbar posterior vertebral canal decompression bone graft fusion and internal fixation between transverse process.In the two groups before and after operation routine to give the same drug treatment and functional exercises.Comparing the basic data of two groups of patients,Two groups have no difference.Two groups of pat ients with postoperative 3 months,6 months to 1 year JOA scores,and the fusion rate of cases of postoperative 1 year and the failure rate in plants.Compare two groups of differences,P?0.05 has significant difference,P?0.05 had no difference.Result: After a year of follow-up,60 cases were eventually through complete follow-up.Among them 54 patients to achieve bony fusion outpatient care,No nail broken bar appears loose screw breakage.The fusion rate of test group 96.67%,JOA evaluation of the cure rate of 92.07%.The fusion rate of control group83.33%,JOA evaluation of the cure rate of 85.73%.Between the two groups have significant differences,P ?0.05,the difference is statistically significant.Conclusion: Lumbar intervertebral bone graft fusion and internal fixation to treat lumbar spinal canal stenosis and instability of disease clinical curative effect is satisfied,improve patient quality of life.
Keywords/Search Tags:Intervertebral bone graft fusion, Bone graft fusion between transverse process, pedicle screw fixation, Degenerative lumbar spinal stenosis, Lumbar instability
PDF Full Text Request
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