Perioperative Nursing of Isthmic Spondylolisthesis in Minimally Invasive Treatment Under Vista Channel System

XU Huiling; CAI Jie; CHEN Lili; XU Feng

doi:10.13730/j.issn.1009-2595.2018.01.016

Abstract：Objective To explore the perioperative nursing method of isthmic spondylolisthesis treated with minimally invasive paraspinal muscle approach decompression,fusion and internal fixation under new Vista channel.Methods Twenty-two isthmic spondylolisthesis patients of degree Ⅰ-Ⅱ based on Meyerding standard were retrospectively analyzed from July 2015 to June 2016 in authors' hospital,including 12 cases of minimally invasive surgery under vista channel,14 cases of traditional open surgery.All patients were received preoperative health assessment,and mental care,health education,preoperative preparation were performed at the same time.The postoperative conditions of illness were observed,and all patients were given waist and abdomen postoperative nursing,reasonable functional guidance and training.The intraoperative blood loss,postoperative wound drainage,walk time,complication rate,3-day and 6-month visual analogue scale (VAS) scores of back and leg pain,6-month Oswestry disability index (ODD,hospital stays were recorded and compared.Results Compared with the traditional open surgery group,there were obvious advantages on the intraoperative blood loss,postoperative wound drainage,walk time,3-day VAS scores of back and leg pain and hospital stays in the minimally invasive surgery group (P＜0.05).There was no significantly difference in VAS scores and ODI in 6 months postoperatively between the two groups (P＞0.05).Lumbar functions were recovered and symptoms or signs disappeared in 24 cases,about 92 ％.The remaining 2 cases recovered to normal activities,about 8 ％,and no postoperative nursing complications occurred.Conclusion Comparing with the traditional surgery,the minimally invasive treatment of isthmic spondylolisthesis under Vista channel has similar long-term efficts.The good perioperative nursing can improve the surgical efficacies,reduce the complications,shorten the hospital stays and perfect postoperative life qualities.