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dynesys和isobar两种动态固定系统非融合治疗腰椎间盘突出症的临床对比分析word格式论文.docx

dynesys和isobar两种动态固定系统非融合治疗腰椎间盘突出症的临床对比分析word格式论文.docx

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dynesys和isobar两种动态固定系统非融合治疗腰椎间盘突出症的临床对比分析word格式论文

缩略语表英文缩写英文全称中文全称LDHLumbardischerniation腰椎间盘突出症DynesysDynamicneutralizationsystem腰椎非融合VASvisualanaloguescale疼痛视觉模拟评分法ODIOswestrydisabilityindexOswestry功能障碍指数ROMrangeofmotion椎间活动度ISRintervertebralspaceratio椎间隙高度比PCUPolycarbonatepolyurethane聚碳酸酯聚氨酯PETpolyesterfiber聚脂纤维TLIFtransforaminallumbarinterbodyfusion经椎间孔椎体间融合MRIMagneticResonanceImaging核磁共振成像Theclinicaloutcomeofretrospectivecontrolledstudy inthetreatmentoflumbardischerniationbyDynesysandIsobarAbstractBackground:lumbardischerniationisthemostcommonspinaldiseases.Discectomyandlumbarfusionisthemosttreatmentsoflumbardischerniation,buttheyareobviouslyinsufficient.Discectomywillleadpersistenceoflowbackpainandlumbardischerniationrecurrence.Fusionwillacceleratethedegenerationofadjacentsegments,increasingtherisk ofadjacentvertebraldiseasedegenerationdisease.Dynamicstabilizationsystemtechniquetheoreticallystablelesionsegments,maintaintheheightoftheintervertebralspace,reservepartofthemotorfunction.Itispossibletobecomeamoreeffectivesurgicaltechniquethanothertraditionaloperation.Objective:ComparativeclinicalefficacyaboutdiscectomywithDynesysandIsobardynamicstabilizationsystemtosimplediscectomyinthetreatmentoflumbardischerniation;Imaging measurement and analysis theDynesys and Isobar dynamicfixation systemwith lumbarfusionon adjacentsegments ofthe lumbarspine.Methods:1Time:May2009-2011inMay.Grouping:discectomyUnitedDynesysdynamicfixed(Agroup);discectomyUnitedIsobardynamicfixed(Bgroup);discectomyalone(C group). Study: 24-month follow-up record single segmental lumbar discherniation.Clinicalevaluationofindicators:①lumbarandlegpainvisualanaloguescale,VAS②Oswestry disabilityindex,ODI.Imagingevaluationofindicators:①theintervertebralspaceRatio,ISR:intervertebralheight(leadingedge+trailingedge)/vertebralheight/2;②surgicalsegmentrangeofmotion(rangeofmotion,ROM).③intervertebraldiscModicchange.Follow-up:outpatient,lettersandtelephonefollow-up.Comparison:Eachgroup comparison of preoperative and postoperative follow-up period, the same

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