Application of intervertebral fusion combined with transarticular screw sighting device in treating elderly patients with lumbar intervertebral disc herniation combined with lumbar fracture
WANG Zhong-xing
WANG Rui
Abstract：Objective To study the effect of intervertebral fusion combined with transarticular screw sigh-ting device in treatment of elderly patients with lumbar intervertebral disc herniation combined with lumbar fracture . Methods A total of 140 elderly patients with lumbar intervertebral disc herniation combined with lumbar fracture enrolled into our hospital from Jun .2014 to Jun.2016 were collected as our study subjects and divided into 2 groups.Seventy cases in the control group underwent intervertebral fusion combined with conventional pedicle screw system fixation and 70 cases in the observation underwent intervertebral fusion combined with transarticular screw sighting device.The short and long term effects were recorded and compared within 2 groups.Results The inci-sion length, operation time, blood loss during operation and drainage volume after operation in the two groups had no statistical difference[(4.8 ±0.6) cm vs.(4.7 ±0.9) cm,(124.6 ±35.7) min vs.(132.4 ±42.5) min, (215.9 ±42.3) mL vs.(242.3 ±52.7) mL, (352.8 ±76.5)mL vs.(389.6 ±85.7) mL] (P<0.05).The VAS at 48 h after operation in the observation group was significantly decreased [(3.5 ±0.8) vs.(4.8 ±1.3), P=0.028].The disc height after operation was increased , then decreased in 12 months than after operation in the two groups(P<0.05).Compared with the control group , the disc height after operation and at 12 months of follow-up was increased in the observation group [(11.2 ±2.4) mm vs.(10.5 ±2.2) mm.P=0.036; (10.9 ±2.6) mm vs.(9.2 ±2.5) mm, P=0.031].Compared with the control group, the cases of screw position type I was in-creased in the observation group (90.0%vs.75.7%, P=0.025).Compared with the control group , the cases of the complications in the observation group was decreased (5.7%vs.17.1%,P=0.034), the rate of vertebral fu- sion and stability was higher (92.9%vs.80.0%,P=0.026), and the improvement rate of JOA score was higher [(87.8 ±7.9)%vs.(56.9 ±13.2)%, P=0.000].Conclusion Intervertebral fusion combined with transar-ticular screw sighting device can be used in treatment of elderly patients with lumbar intervertebral disc herniation combined with lumbar fracture .
Keywords：lumbar fracturelumbar disc herniationintervertebral fusionscrewelderly
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 862-865 )