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| Effect of transarticular decompression fusion combined with Dynesys dynamic stabilization system in the treatment of patients with lumbar degenerative disease |
| DU Xinchong1 WANG Jun1 LI Huaguang1 WANG Yanbo1 YANG Yipeng2 ZhANG Peinan1 |
1.Department of Orthopaedics, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Department of Orthopaedics, the Third Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050051, China |
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Abstract Objective To explore and analyze the effect of transarticular decompression fusion combined with Dynesys dynamic stabilization system in the treatment of patients with lumbar degenerative disease. Methods From August 2014 to August 2015, 100 patients with lumbar degenerative disease admitted to the First Affiliated Hospital of Hebei North University were selected as the research subjects and divided into the control group and the observation group by the random number table, with 50 cases in each group. The control group treated with transarticular decompression treatment, while the observation group treated with transarticular decompression fusion combined with Dynesys dynamic stabilization system. The overall lumbar activity, lumbar segment activity, adjacent intervertebral activities, adjacent intervertebral height and lumbar function score (ODI) were compared preoperative, posteoperative of 1, 12 month and 24 month between the two groups. Results Before operation, there was no statistically signicant difference in the overall lumbar activity between the two groups (P ＞ 0.05); after operation of 1, 12 month and 24 month, the overall lumbar activity in the two groups were all lower than those of before operation; and with the extension of time, the overall lumbar activity in the two groups were all increased, and the indicator in the observation group increased much more significantly than that of control group, with statistically signicant difference (P ＞ 0.05). Before operation, there was no statistically signicant difference in the lumber segment activity between the two groups (P ＞ 0.05); after operation of 1, 12 month and 24 month, the lumber segment activity in the two groups were all lower than those of before operation; and with the extension of time, the lumber segment activity in the two groups were all increased, and the indicator in the control group increased much more significantly than that of observation group, with statistically signicant difference (P < 0.05). Before operation, there was no statistically signicant difference in the adjacent intervertebral activities between the two groups (P ＞ 0.05); after operation of 1, 12 month and 24 month, the adjacent intervertebral activities in the two groups were all higher than those of before operation; and with the extension of time, the adjacent intervertebral activities in the two groups were all increased, and the indicator in the observation group increased much more significantly than that of control group, with statistically signicant difference (P ＞ 0.05). There was no statistically signicant difference in the adjacent intervertebral height between the two groups before and after operation of 1, 12 month and 24 month (P ＞ 0.05). Before operation, there was no statistically signicant difference in the score of ODI between the two groups (P ＞ 0.05), after operation of 1, 12 month and 24 month, the scores of ODI were all lower than those of before operation; and the scores of 1 month and 12 month in the observation group decreased much more significantly than that of control group, with statistically signicant difference (P ＜ 0.05). Conclusion Transarticular decompression fusion combined with Dynesys dynamic stabilization system can effectively increase the lumbar range of motion in patients with lumbar degenerative disease, relieve the postoperative pain and improve the clinical efficacy of patients. It is worthy of clicical promotion and application.
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