Bone cement augmentation of pedicle screw or clinical treatment of degenerative lumbar spinal disorders.docVIP

 PAGE \* MERGEFORMAT 23 Bone cement augmentation of pedicle screw or clinical treatment of degenerative lumbar spinal disorders Of: Liucheng En, Li River, Fan Shi before, Jason Hu, Yuchun, Chen Yinghuan, Lixing Bang, Wang Liang [Abstract] Objective clinical bone cement augmentation of pedicle screws or the efficacy of postoperative comparative analysis of bone cement augmentation of pedicle screw for degenerative lumbar spinal disorders in elderly patients with clinical value. Methods 40 cases of degenerative lumbar disease need surgery patients were randomly divided into A, B group, n = 20, A group of first pedicle perfusion slightly sticky nail Road, PMMA bone cement (per nail Road, 2 ~ 3 mL) after the conventional pedicle screw fixation and bone grafting, B group of conventional pedicle screw fixation and bone graft fusion, respectively intraoperative pedicle screw holding force and the use of JOA scoring system of clinical lumbar spine surgery, X-ray film detachment reset Boxall standards and vertebral bone fusion between the Cook and other standards on the efficacy of a comprehensive evaluation. Results 40 patients have been effectively followed up for 6 to 18 months, 8.4 months mean follow-up. A group of 20 patients After all subjective satisfaction in the postoperative JOA score using standard evaluation, the overall satisfactory rate was 90.87%, after X-ray film according to Boxall index criteria, reset the fine was 100%, 100% fusion rate, fusion time 3 to 6 months, an average of 3.7 months, B group of 20 patients, 17 cases were subjective satisfaction, satisfaction rate of 85%, postoperative JOA score using standard evaluation, the overall satisfactory rate was 81.56%, after index based on the standard X-Boxall, reset rate was 80% good, 80% fusion rate, fusion time of 3.2 to 8 months, an average of 4.8 months, and 1 case after 3 months because of pedicle screw loose bone cement to strengthen the implementation enlarged pedicle screw revision surg