Posterior lumbar interbody fusion in the study of nerve root traction injury.docVIP

 PAGE \* MERGEFORMAT 17 Posterior lumbar interbody fusion in the study of nerve root traction injury Of: CUI Zhiming, Li Weidong, Bao Guo-Feng, Xu, Sun Yu Yu, Lingling, Zhu Yue silver [Abstract] [Objective] To investigate lumbar interbody fusion in the nerve root traction injury incidence and nerve root stretch tolerance threshold. [Methods] Safety of nerve root retractors complete posterior interbody A total of 116 cases of fusion surgery, intraoperative segmental nerve stimulation somatosensory evoked potential technique for monitoring, recording SEP SEP latency and amplitude of nerve root tension and stretch time. After 10 d, 1 month, 3 months, 1 year were followed up to record JOA score. [Results] A total of 19 cases of surgery patients latency and amplitude decreased, when the nerve root pulling force (4.1 + - 0.45 N, the cumulative tension was (42.89 + -2.96 N * min, latency and amplitude was significantly higher than the smooth group and improving group, the incidence of FBSS patients was significantly higher than that of the latter two groups. [Conclusion] The surgery is nerve root stretch injury after posterior lumbar interbody fusion lumbar spine caused by early failed back surgery syndrome (fail back surgery syndrome, FBSS) the main reason for pulling a single nerve root is less than (4.1 + - 0.45 N or less than the cumulative tension (42.89 + -2.96 N * min, nerve root traction injury occurred less likely. [Keywords:] lumbar interbody fusion, internal fixation, nerve roots, distraction injury Abstract: [Objective] To discuss incidence of nerve root stretch injury and threshold value of traction injury in lumbar interbody fusion from posterior rout approach. [Method] Totally patients were treated by lumbar interbody fusion performed with posterior approach using the safe nerve root retractor, the force of dragging nerve root and the retracting time were showed on the display device, while the latency and amplitude of the DSEP wave were mea