Minimally invasive B-Twin cage Efficacy of treatment of lumbar instability.doc

 PAGE \* MERGEFORMAT 17 Minimally invasive B-Twin cage Efficacy of treatment of lumbar instability Of: Yangjin Shun, Liu Zhuang, Huang Duo [Abstract] [Objective] To evaluate small incision B-Twin posterior interbody fusion in the treatment of degenerative lumbar instability of the operative characteristics and clinical efficacy. [Method] degenerative lumbar instability treated 13 patients with 13 gaps, including L4 , 5 segmental instability in 11 cases, L5S1 segment instability in 2 cases. the patients underwent open surgery with small incision posterior B-Twin interbody fusion, efficacy evaluation by the Japanese Orthopaedic Association (JOA) scoring lower back pain. [ Results] All patients had no infection, nerve damage and loss and other complications fusion. up for 12 to 23 months (average 16.2 months), 13 patients with preoperative JOA score was 4.2 points up from the end of the JOA The average score of 14.4 points, JOA score improvement rate after surgery: excellent in 11 cases, good in 1 case, 1 case, and poor 0 case, excellent rate of 92.3% .13 patients were received interbody fusion, the average time for fusion 19.8 weeks. follow the process of B-twin cage in good position, disc height loss of 2 cases than outside (lt;10%), and the rest did not change significantly. [Conclusion] associated with mild degenerative lumbar instability patients with lumbar discogenic disease, posterior incision B-Twin expandable interbody fusion of the joint a large number of particles from the bone fusion surgery with less trauma, safety, fusion rate, and reliable clinical advantages, it is worth further exploration. [Keywords:] degenerative lumbar instability; interbody fusion; B-Twin Abstract: [Objective] To explore the effect of B-Twin intervertebral cage for degenerative lumbar instability with posterior mini-incision. [Methods] Thirteen patients (13 disc-spaces) treated with B-Twin intervertebral cage in combination with autogenous morselized bone were enr