上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

早期神经松动术对微创椎间植骨融合术后根性疼痛复现的影响

蔡晓阳1，吕海生2，谢幼专2   

  1. 1. 华侨大学医院骨科，泉州 362011；2. 上海交通大学 医学院附属第九人民医院骨科，上海 200011
  • 出版日期:2017-04-28 发布日期:2017-05-04
  • 通讯作者: 谢幼专，电子信箱：phoque711@163.com。
  • 作者简介:蔡晓阳（1969—），男，主治医师，学士；电子信箱：1961922960@qq.com。
  • 基金资助:

    上海教委重点学科建设基金（J50206）

Effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgery-transforaminal lumbar interbody fusion

CAI Xiao-yang1, Lü Hai-sheng2, XIE You-zhuan2   

  1. 1. Department of Orthopaedic Surgery, Hospital affiliated to Huaqiao University, Quanzhou 362011, China; 2. Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 20011, China
  • Online:2017-04-28 Published:2017-05-04
  • Supported by:

    Fund for Key Discipline of Shanghai Municipal Education Commission，J50206

PDF (PC)

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摘要：

目的 ·探讨微创经椎间孔椎间植骨融合术(MIS-TLIF)后早期进行神经松动术对减少根性疼痛症状复现的影响。方法 ·将54例行单节段MIS-TLIF的患者随机分为2组。治疗组28例，术后第1天开始进行神经松动术治疗；对照组26例，术后不进行神经松动术治疗。评价2组患者视觉模拟评分（VAS）和日本骨科学会下腰痛评分（JOA）。结果 ·术前和术后3个月2组VAS评分和JOA评分无显著性差异（P>0.05）；术后第4天治疗组VAS评分显著低于对照组（P<0.05），JOA评分显著高于对照组（P<0.05）。结论 ·对MIS-TLIF后患者早期进行神经松动术干预有助于减少术后早期根性疼痛症状复现的发生率，是一种安全可靠的方法。

关键词: 神经松动术, 腰椎, 微创经椎间孔椎间植骨融合术, 根性疼痛复现

Abstract:

Objective · To investigate the effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgerytransforaminal lumbar interbody fusion (MIS-TLIF). Methods · Fifty-four patients who underwent MIS-TLIF were divided into treatment group (n=28) and control group (n=26). The control group received conventional rehabilitation treatment, while the treatment group received neurodynamic mobilization every day after the first post-operative day. The score of visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score were evaluated before and after the treatment. Results · There was no significant difference in the score of VAS or JOA between two groups before the treatment or three months after surgery (P>0.05). The score of VAS was significantly lower (P<0.05), and the JOA score was significantly higher (P<0.05) in the treatment group than in the control group four days after surgery. Conclusion · The early neurodynamic mobilization is effective to decrease the recurrence rate of sciatica in patients underwent MIS-TLIF.

Key words: neurodynamic mobilization, lumbar, minimally invasive surgery-transforaminal lumbar interbody fusion, recurrence of sciatica