Cargando…
Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation
INTRODUCTION: This study was conducted to compare the clinical effects of unilateral pedicle screw fixation and interbody fusion with PEEK cage (UPSFC) and standalone expandable fusion cage (SAEFC) on unilateral lumbar disc herniation. MATERIAL AND METHODS: From September 2011 to July 2014, a respec...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209698/ https://www.ncbi.nlm.nih.gov/pubmed/30393499 http://dx.doi.org/10.5114/aoms.2018.74890 |
_version_ | 1783366949959368704 |
---|---|
author | Zhang, Jinlei Pan, Aixing Zhou, Li Yu, Jingyi Zhang, Xiao |
author_facet | Zhang, Jinlei Pan, Aixing Zhou, Li Yu, Jingyi Zhang, Xiao |
author_sort | Zhang, Jinlei |
collection | PubMed |
description | INTRODUCTION: This study was conducted to compare the clinical effects of unilateral pedicle screw fixation and interbody fusion with PEEK cage (UPSFC) and standalone expandable fusion cage (SAEFC) on unilateral lumbar disc herniation. MATERIAL AND METHODS: From September 2011 to July 2014, a respective investigation was performed on 130 lumbar disc herniation patients treated with SAEFC or UPSFC. The hospital stay, operating time, blood loss, Japanese orthopaedic association scores (JOA), and visual analogue score (VAS) in the two groups were compared using Student’s t-test. RESULTS: The average of follow-up time was 25.6 ±6.4 and 25.2 ±5.8 months, respectively. No significant difference in the postoperative hospitalizsation, intraoperative blood loss, operative time, and postoperative fusion rate was detected between the two groups. VAS score in the UPSFC group was significantly lower than in the SAEFC group at 6 and 12 months after operation (p = 0.014, p = 0.004). X-ray images indicated that the subsidence rate was 8.1% (5/62) in the SAEFC group, while no subsidence was detected in UPSFC group 12 month after operation. CONCLUSIONS: Both SAEFC and UPSFC are effective techniques. UPSFC may be a better choice for patients with lumbar disc herniation and unilateral limb symptoms of nerve root in view of the advantages of better low back pain relief and low subsidence rate. |
format | Online Article Text |
id | pubmed-6209698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-62096982018-11-02 Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation Zhang, Jinlei Pan, Aixing Zhou, Li Yu, Jingyi Zhang, Xiao Arch Med Sci Clinical Research INTRODUCTION: This study was conducted to compare the clinical effects of unilateral pedicle screw fixation and interbody fusion with PEEK cage (UPSFC) and standalone expandable fusion cage (SAEFC) on unilateral lumbar disc herniation. MATERIAL AND METHODS: From September 2011 to July 2014, a respective investigation was performed on 130 lumbar disc herniation patients treated with SAEFC or UPSFC. The hospital stay, operating time, blood loss, Japanese orthopaedic association scores (JOA), and visual analogue score (VAS) in the two groups were compared using Student’s t-test. RESULTS: The average of follow-up time was 25.6 ±6.4 and 25.2 ±5.8 months, respectively. No significant difference in the postoperative hospitalizsation, intraoperative blood loss, operative time, and postoperative fusion rate was detected between the two groups. VAS score in the UPSFC group was significantly lower than in the SAEFC group at 6 and 12 months after operation (p = 0.014, p = 0.004). X-ray images indicated that the subsidence rate was 8.1% (5/62) in the SAEFC group, while no subsidence was detected in UPSFC group 12 month after operation. CONCLUSIONS: Both SAEFC and UPSFC are effective techniques. UPSFC may be a better choice for patients with lumbar disc herniation and unilateral limb symptoms of nerve root in view of the advantages of better low back pain relief and low subsidence rate. Termedia Publishing House 2018-04-06 2018-10 /pmc/articles/PMC6209698/ /pubmed/30393499 http://dx.doi.org/10.5114/aoms.2018.74890 Text en Copyright: © 2018 Termedia & Banach http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Clinical Research Zhang, Jinlei Pan, Aixing Zhou, Li Yu, Jingyi Zhang, Xiao Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title | Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title_full | Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title_fullStr | Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title_full_unstemmed | Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title_short | Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
title_sort | comparison of unilateral pedicle screw fixation and interbody fusion with peek cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209698/ https://www.ncbi.nlm.nih.gov/pubmed/30393499 http://dx.doi.org/10.5114/aoms.2018.74890 |
work_keys_str_mv | AT zhangjinlei comparisonofunilateralpediclescrewfixationandinterbodyfusionwithpeekcagevsstandaloneexpandablefusioncageforthetreatmentofunilaterallumbardischerniation AT panaixing comparisonofunilateralpediclescrewfixationandinterbodyfusionwithpeekcagevsstandaloneexpandablefusioncageforthetreatmentofunilaterallumbardischerniation AT zhouli comparisonofunilateralpediclescrewfixationandinterbodyfusionwithpeekcagevsstandaloneexpandablefusioncageforthetreatmentofunilaterallumbardischerniation AT yujingyi comparisonofunilateralpediclescrewfixationandinterbodyfusionwithpeekcagevsstandaloneexpandablefusioncageforthetreatmentofunilaterallumbardischerniation AT zhangxiao comparisonofunilateralpediclescrewfixationandinterbodyfusionwithpeekcagevsstandaloneexpandablefusioncageforthetreatmentofunilaterallumbardischerniation |