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The Clinical Analysis Of "Autologous Cage" Bone Graft In Posterior Lumbar To Therapy Spondylolisthesis

Posted on:2015-10-20Degree:MasterType:Thesis
Country:ChinaCandidate:Z ZhuFull Text:PDF
GTID:2284330422476836Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective:To discussion"autologous Cage"、Cage+autologous two bone material inpatients with spondylolisthesis choose posterior lumbar interbody fusion,comparisons of the rates of fusion, intervertebral height loss and clinical efficacy;andanalysis the rates of fusion after3month,6month,12month,then to determine whichfusion graft material required shorter time.Methods:Patients with Lumbar spondylolisthesis for Posterior lumbar interbody fusionsurgery were randomly divided into A, B two groups, A group choose "autologousCage"of bone graft material,B group selection Cage+autologous bone graft。Retrospective the clinical data of two groups, comparisons of the speed of fusion,therates of fusion, intervertebral height loss and clinical efficacy,Results:A group included of41cases, B group involved of37cases, ttwo groups inaverage age、slippage vertebral body、sex ratio was not significant difference (P>0.05);two groups insymptoms improvement was not significant difference (P>0.05);the patients of group A in12months after surgery compared to3days, no case foundof intervertebral height loss, the group B found13cases, the difference wasstatistically significant(t=-4.818,P<0.05);A, B two groups in fusion rates after3months (P=0.017<0.05)、after6months (P=0.026<0.05) the difference wasstatistically significant,but after12months, the fusion rates between two groups thedifference was not statistically significant (P=0.084>0.05).Conclusion:A group of "autologous cage" and group B with Cage+autogenous two bonegraft material in posterior lumbar interbody fusion treat spondylolisthesis thesymptoms improvement after surgery was not significant difference;the two groupsin intervertebral height loss after surgery,the difference was statistically significant;two groups in fusion rates after3months、after6months the difference was statistically significant,that mean:"autologous cage"(A group) required shorter timethan Cage+bone autogenous (B group) in fusion rates.
Keywords/Search Tags:Lumbar spondylolisthesis, Bone graft fusion, Fusion cage, Bone graftmaterial, Posterior surgery
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