腰椎融合术后邻近节段退变影响因素的分析.pdfVIP

The analysis of influence factors of lumbar adjacent segment degeneration after lumbar interbody fusion Abstract 【Objective 】To observe the influence factors,pathogenesis and preventative measures of lumbar adjacent segment degeneration after lumbar interbody fusion. 【Method 】By bilateral Cohort Studies method,120 patients who hospitalized a upper first-class hospital during March 2002 to April 2012 were cured by lumbar interbody fusion,and they were accepted a postoperative follow-up.2 case were lost at last.The 118 patients were accepted the measurement of lumbar X-ray photograph,they were divided into lumbar adjacent segment degeneration group and normal group according to the result of X-ray.At last the probable influence factors were analysed by one-way ANOVA and analysis of covariance. 【Result 】The study showed that the rate of the lumbar adjacent intervertebral space degeneration after lumbar interbody fusion was 79.66%.The one-way ANOVA analysis showed that the difference between the degenerated group and normal group was statistically significant(P0.05) as is concerned to the mode of decompression,the number of decompression segment,the number of internal fixation segment,However,the number of cage and cross were no statistically significant(P ＞ 0.05).The further analysis of covariance was used to analyze the mode of decompression,the number of decompression segment,the number of internal fixation segment between two groups.And the results showed as follows:when it comes to the mode of decompression between two groups, the difference among the none decompression,fenestration laminectomy and Semi laminectomy was no statistically significantt(P＞0.05),while the difference between the none decompression and whole Laminectomy was obviously statistically significa