可膨胀式椎间融合器 B-twin及椎间融合器Cage在退行性腰椎疾病治.docVIP

可膨胀式椎间融合器 B-twin及椎间融合器Cage在退行性腰椎疾病治 　 作者：胡文凯，王文军，姚女兆 【摘要】 ［目的］评价B-twin与Cage两种不同融合器在腰椎退行性疾病治疗中的临床应用价值。［方法］回顾分析从2004年6月～2007年12月应用Cage治疗腰椎退行性疾病共112例，B-twin治疗腰椎退行性疾病共79例，随机从两组病例中各抽取30例，分成两组，分析2组病人术后的临床疗效，植骨融合率，椎间隙高度及并发症等有无差别。［结果］ 两组病例临床疗效、植骨融合率及椎间高度变化无明显差别（P﹥0.05），但B-twin治疗组创伤小，恢复较快，费用较高；Cage组减压充分、费用较低，但创伤大且并发症相对较多。［结论］Btwin技术和Cage技术是两种治疗退行性腰椎间盘源性疾病的椎间融合技术，各有其优点，都具有其临床应用价值，在临床应用中需根据临床具体情况选择手术方式。 【关键词】 腰椎退行性疾病； 椎间融合； 应用评价 Abstract: ［Objective］To evaluate the effects of clinical application of B-twin and cage for treatment of lumbar degenetative disease. ［Methods］From June 2004 to December 2007,a total of 112 patients with lumbar degenetative disease who underwent posterior lumbar interbody fusion(PLIF) with cage and 79 patients who underwent PLIF with B-twin were enrolled. Sixty patients were selected and randomly divided into two groups(30 in each group). The clinical curative effect, the rate of bone graft fusion, the intervertebral space height and complications in both groups were analyzed and compared.［Results］In the B-twin group, the treatment was a minimally invasive technique, which offered a satisfactory effect with good bone graft fusion, fewer complications and sooner recovery, but the cost was higher than that in cage group. The cage treatment was an open sugery for fenestration operation. It had more complications but more sufficient decompression and lower cost. The rates of bone graft fusion between the 2 groups were not different in statistics.［Conclusion］The B-twin and cage techniques are two treatmens for interbody fusion of lumbar degenetative disease. Both have advantages and clinical application value. It should be choosen according to different specific conditions in the clinical practice. Key words：lumbar degenetative disease; internal fixation; interbody fusion 后路腰椎间融合是一种生物力学上理想的融合方法，引入临床治疗退行性腰椎疾病已有几十年的历史。B-twin与Cage是该手术方式中使用的两种融合材料，但是因植入的方法存在差异，临床上B-twin与Cage分别代表了两种手术方式。近年来得已得到了广泛的应用，但是关于两种术式的临床应用价值的评价尚未见出现。本科于2002年报道了应用cage治疗腰椎间盘突出和腰椎滑脱［1、2