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《China Modern Doctor》 2013-28
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Comparison of clinical efficacy of PLIF and PLIF joint PLF in the treatment of lumbar degenerative disease

LUO Bin;MEI Jinrong;WANG Guorong;ZHENG Hua;GAO Wei;Department of Orthopedics,Zhejiang Huzhou Central Hospital;Department of Orthope dics,the First Hospital of China Medical University;  
Objective To study the efficacy of PLIF and PLIF joint PLF in the treatment of lumbar degenerative dis-ease. Methods A total of 100 cases with lumbar degenerative disease of the author's hospital from Feb. 2011 to Jan.2013 were collected. 47 patients underwent posterior interbody fusion and 53 patients underwent posterior interbody fusion combined with posterolateral fusion. The clinical data of the two groups of patients were retrospectively analyzed.The postoperative clinical effect of two types of bone graft surgery and imaging findings were compared. Blood loss,postoperative incision pain, drainage within 48 h and complications were recorded. Results All of 100 cases were followed up. The difference of operative time, blood loss, complication rate, the number of days of hospitalization between two groups was not statistically significant(P 0.05). The difference of 3 d incision pain VAS score,wound drainage within 48 h and hospital costs were statistically significant( P 0.05). Lumbar lordosis, fusion segment lordosis, clinical efficacy and the fusion rate of the two groups had no significant difference( P 0.05). Conclusion Short-term clinical efficacy and fusion rate of PLIF pedicle screw fixation associated or not associated with PLF for the treatment of degenerative diseases has no significant effect. Interbody fusion combined with posterolateral fusion increases hospital costs and time.
【Fund】: 辽宁省科学技术项目(2008225009-23)
【CateGory Index】: R687.3
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