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| Clinical study of posterior lumbar interbody fusion using pedicle screw system under intervertebral disc |
| ZHU Xiankang ZHONG Jiayun▲ LI Tengbiao LIN Xiaquan ZHAO Debing HUANG Qiyu HOU Xinhe |
| Department of Orthopedics， Yulin Red Cross Hospital, Guangxi Zhuang Autonomous Region, Yulin 537000, China |
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Abstract Objective To explore the clinical effect of intervertebral fusion after lumbar intervertebral disc fusion under the intervertebral disc. Methods From February 2010 to March 2012, in Yulin Red Cross Hospital, the clinical data of 92 patients with lumbar disc herniation were retrospectively analyzed. 46 patients treated with pedicle screw channel posterior lumbar interbody fusion by intervertebral disc were as observation group, 46 patients treated with traditional open posterior intervertebral disc extraction and pedicle screw fixation were as control group. The intraoperative blood loss, operation time, hospitalization time, pain score, intervertebral height, clinical improvement rate and satisfaction rate of the two groups were compared. Results The intraoperative blood loss, operation time and length of hospitalization in the observation group were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). After the treatment, the pain score, vertebral space of the observation group were less than those of the control group, the differences were statistically significant (P < 0.05). The clinical improvement rate in the observation group was higher than that in the control group, the differences were statistically significant (P < 0.05). The total satisfaction rate in the observation group was higher than that in the control group, the differences were statistically significant (P < 0.05). Conclusion The establishment of posterior lumbar intervertebral fusion with intervertebral disc through intervertebral disc is effective and effective, and it has less hemorrhage, less incision and quick recovery after operation. It is worthy of study and popularization.
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