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《Journal of Medical Postgraduates》 2011-12
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Unilateral pedicle screw fixation with transforaminal lumbar interbody fusion for the treatment of lumbar degenerative disease

XU Hai-dong,CHEN Yong,XU Bin,ZHAO Jian-ning(Department of Orthopedics,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China)  
Objective This study aimed to investigate the clinical outcome of unilateral pedicle screw(Ups) fixation and transforaminal lumbar interbody fusion(TLIF) in the treatment of lumbar degenerative disease.Methods Forty-two patients with lumbar degenerative disease were assigned to two groups on a voluntary basis to receive Ups+TLIF(n=24) and bilateral pedicle screw fixation combined with fusion between vertebra(n=18).Pre-and post-operative back pains were compared using the visual analog scale(VAS) system,the clinical outcomes assessed by the Kim method,and the fusion status evaluated by the Schulte method.Results The clinical symptoms of all the patients were improved post-operatively,with no complications.The Ups+TLIF group showed higher VAS and Kim scores than the bilateral fixation group,but no significant differences were observed in the bone graft fusion between the two groups.The patients were followed up for 6 to 18(mean 12.8) months.Conclusion Ups+TLIF,characterized by minimal invasiveness,is a reliable and effective option for the management of lumbar degenerative disease.However,its indications should be well considered.
【CateGory Index】: R687.32
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