多分区 LDD 的 dynesys 系统和混合系统比较

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243202e270051
Xin Zhang, Xiao Xiao, Hongyu Wang, Song Wang, Dazhi Yang, Songlin Peng
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引用次数: 0

摘要

目的比较Dynesys和混合系统治疗多节段腰椎退行性疾病(LDD)患者的效果:这项回顾性研究将患者分为Dynesys组(22人)和混合组(13人)。临床结果采用 Oswestry 失能指数(ODI)和视觉模拟量表(VAS)进行评估。放射学评估包括 X 光、核磁共振成像和 CT。此外,还对不同的并发症进行了分析:在最后一次随访中,各组的 ODI 和 VAS 均有所改善(P < 0.05),但手术节段的活动范围(ROM)有所减小。然而,Dynesys 组在最后一次随访时保留了更大的活动范围(P < 0.05)。两组患者邻近上节段的活动度均有所增加(P < 0.05),而最后随访时椎间盘高度均有所下降(P < 0.05)。此外,Dynesys 组的动态节段椎间盘高度下降更明显(P < 0.05)。两组在并发症方面无明显差异(P>0.05):在我们的研究中,两组患者都获得了相似的满意结果。结论:在我们的研究中,两组患者都获得了相似的满意结果,对于患有多节段 LDD 的中年体力劳动者来说,这两种手术方法都是有效的治疗方法。证据等级 III;回顾性比较研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARISON OF DYNESYS AND HYBRID SYSTEM FOR MULTI-SEGMENTAL LDD.

Objective: To compare effectiveness of Dynesys and hybrid system in treating patients with multi-segmental lumbar degenerative disease (LDD).

Methods: Patients involved in this retrospective study were divided into Dynesys (n = 22) and Hybrid (n = 13) groups. Clinical outcomes were evaluated using Oswestry Disability Index (ODI), and Visual Analogue Scale (VAS). Radiologic evaluations included X-ray, MRI, and CT. Furthermore, different complications were analyzed.

Results: At the last follow-up, ODI and VAS of each group were improved (p < 0.05), and the range of motion (ROM) of operating segments decreased. However, Dynesys group preserved a larger extent of ROM at the final follow-up (p < 0.05). ROM of the upper adjacent segment was increased in both groups (p < 0.05), while the disc heights were decreased at the final follow-up (p < 0.05). Besides, Dynesys group had a more obvious decrease in the disc height of dynamic segments (p < 0.05). No significant difference existed in complications between both groups (p > 0. 05).

Conclusion: In our study, similar satisfactory results were obtained in both groups. Both surgical procedures can be employed as effective treatments for middle-aged and physically active patients with multi-segmental LDD. Level of Evidence III; Retrospective Comparative Study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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