Minimally invasive lumbar interbody fusion via MAST Quadrant retractor versus open surgery: a prospective randomized clinical trial
Minimally invasive lumbar interbody fusion via MAST Quadrant retractor versus open surgery: a prospective randomized clinical trial
复制标题
通过 MAST Quadrant 牵开器进行微创腰椎椎间融合术与开放手术：一项前瞻性随机临床试验
DOI：
10.3760/cma.j.issn.0366-6999.2011.23.007
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发表时间：
2011-12-05
影响因子：
6.1
通讯作者：
Wang Li-xun
中科院分区：
文献类型：
--
作者：
Wang Hong-li;Lu Fei-zhou;Wang Li-xun
背景近年来，各种微创腰椎手术技术取得了理想的疗效，但相对于开放手术的优势仍存在争议。本研究的目的是比较微创腰椎椎间融合器通过MAST象限牵开器与开放手术的围手术期因素，术后背部肌肉功能，和24个月的术后随访结果。方法从2006年9月至2008年6月，单节段退行性腰椎疾病，保守治疗无效的患者纳入本研究。患者随机接受微创手术或（MIS，通过MAST Quadrant牵开器经椎间孔腰椎椎间融合术，41例）或开放手术结果微创组术中透视时间较开放手术组长，开放手术组术后引流量明显增加，术后恢复时间明显延长组（P
Background In recent years, a variety of minimally invasive lumbar surgery techniques have achieved desirable efficacy, but some dispute remains regarding the advantages over open surgery. This study aimed to compare minimally invasive lumbar interbody fusion via MAST Quadrant retractor with open surgery in terms of perioperative factors, postoperative back muscle function, and 24-month postoperative follow-up results.Methods From September 2006 to June 2008, patients with single-level degenerative lumbar spine disease who were not responsive to conservative treatment were enrolled in this study. Patients were randomized to undergo either minimally invasive surgery (MIS, transforaminal lumbar interbody fusion via MAST Quadrant retractor, 41 cases) or open surgery (improved transforaminal lumbar interbody fusion, 38 cases).Results The MIS group had longer intraoperative fluoroscopy time than the open surgery group, and the open surgery group had significantly increased postoperative drainage volume and significantly prolonged postoperative recovery time compared with the MIS group (P