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[Clinical efficacy of unilateral percutaneous transfacet screws combined with contralateral pedicle screw versus bilateral pedicle screws fixation in the treatment of the degenerative lumbar disease].
Zhongguo Gu Shang. 2017 Sep 25;30(9):817-822
Authors: Hao RX, Zhou H, Pan H, Yue J, Chen HG, Yang HJ, Jia GY, Wang D, Lin Y, Xu HZ
Summary
OBJECTIVE: To analyze the surgical end result of unilateral pedicle screw(UPS) after TLIF method mixed with contralateral percutaneous transfacet screw(PTS) fixation vs bilateral pedicle screws(BPS) fixation in therapy of degenerative lumbar illness.
METHODS: From January 2009 to June 2012, 46 sufferers with degenerative lumbar illnesses, together with 30 males and 16 females with a mean age of 51.5 years previous, who had been divided into two teams in line with completely different fixation strategies. Twenty-two circumstances underwent UPS after TLIF method mixed with contralateral PTS fixation (group A), whereas the others underwent BPS fixation(group B). The relative information had been analyzed, resembling blood loss quantity, operative time, fusion price, ODI rating, JOA rating and so forth.
RESULTS: All of the sufferers had been adopted up for 1 to three years with a mean of 22 months. Besides one case of every group was uncertainty fusion, the remainder have obtained bony fusion, and the fusion charges in group A and B had been 95.5% and 95.eight%, respectively. No displacement and breakage of screw had been discovered throughout follow-up. Operative time and blood loss quantity in group A had been higher than of group B(P<zero.05). ODI and JOA scores had improved clearly than preoperation(P<zero.05), however the variations had no statistical significance between two teams(P>zero.05).
CONCLUSIONS: Two approaches had comparable scientific outcomes for degenerative lumbar illness with no extreme instability. In contrast with BPS fixation, the united statesafter TLIF method and contralateral PTS fixation has the benefits of much less trauma, shorter operative time and fewer blood loss, and it’s a secure and possible surgical method.
PMID: 29455482 [PubMed – in process]