Colfex装置在老年退行性腰椎管狭窄症中的应用.docVIP

Colfex装置在老年退行性腰椎管狭窄症中的应用 　　作者：罗鹏，倪文飞，黄其杉，王向阳，徐华梓，池永龙 作者单位：浙江省温州医学院附属第二医院骨科，浙江 温州 325000 　　【摘要】 目的 回顾分析应用Coflex棘突间动力内固定装置治疗老年退行性腰椎管狭窄症的初步临床疗效。方法 2007年10月至2009年7月采用Coflex棘突间动力内固定植入术治疗老年退行性腰椎管狭窄症患者16 例，其中男11 例，女5 例，年龄60～75 岁，平均68.2 岁。所有患者均获随访，随访时间为5～25个月，平均12.9个月。结果 患者术后腰痛、下肢痛视觉模拟评分及日本矫形外科协会评分末次随访较术前比均有明显改善(P0.01)。术前、术后椎间隙前高无明显变化(P0.05)，椎间隙后高较术前增加(P0.05)。固定节段上一椎体间活动度术前、术后变化不明显(P0.05)。结论 Coflex棘突间动力内固定植入术治疗老年退行性椎管狭窄症具有创伤小、出血少、可早期进行功能锻炼等优点，短期效果满意，远期效果有待长期随访。 　　【关键词】 老年;Coflex棘突间内固定;退行性腰椎管狭窄 　　Application of Interspinous U in Treatment of the Degenerative Lumbar Spinal Stenosis in Aged People 　　LUO Peng，NI Wenfei，HUANG Qishan，et al 　　(Department of Orthopaedics，the Second Affiliated Hospital of Wenzhou Medical College，Wenzhou 325000，China) 　　Abstract：Objective A retrospective study was done to analyze the preliminary effects of Interspinous U for treating degenerative lumbar spinal stenosis in aged people.Methods Between October 2007 and July 2009，16 elderly patients with degenerative lumbar spinal stenosis were treated with Interspinous U(Coflex)，the average age of them was 68.2 years old.After surgery，all patients of this group were followedup for 5 to 25 months(average 12.9 months).Results All patients showed significant clinical improvement in the VAS scores for leg pain and back pain and JOA scores(P0.01)after surgery.The anterior intervertebral height was no significantly change(P0.05).The posterior intervertebral height was significantly increased postoperative compare to preoperative(P0.05).The range of motion at the upper adjacent segment in this group was no significantly changed(P0.05).Conclusion The Interspinous U(Coflex) has the advantages of less invasive，less blood loss，less pain and early exercise for aged people in dealing with degenerative lumbar spinal stenosis.It is effective in treating to degenerative lumbar spinal stenosis in a short term.But its longterm effects still need further followup. 　　Key words：aged people;