对于腰部退行性疾病的Coflex动态稳定与bacfuse静态稳定的比较
Hao Chen1, Yi Ding1, Xuepeng Wang2
1Department of Orthopedic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, China.
BMC musculoskeletal disorders
|October 30, 2025
概括
在腰部退行性疾病中,BacFuse静态间层稳定是一种安全有效的替代Coflex动态稳定剂. 这两种治疗都改善了患者的治疗结果,BacFuse在维持盘高度方面显示出好处.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
背景情况:
- 腰部退行性疾病会影响脊柱的稳定性,并引起疼痛.
- 膜间稳定旨在改善退行性疾病患者的治疗结果.
- 比较静态和动态稳定方法对于治疗选择至关重要.
研究的目的:
- 为了比较BacFuse静态介层稳定与Coflex动态介层稳定的临床疗效.
- 评估腰部退行性疾病患者的结果.
主要方法:
- 一项研究包括61名患有腰部退行性疾病的患者,他们接受了Coflex或BacFuse稳定.
- 使用视觉模拟量表 (VAS),奥斯威斯特残疾指数 (ODI) 和苏黎世音问卷 (ZCQ) 评分来评估临床结果.
- 在手术后的1,6个月和24个月进行了磁盘高度和前高度的放射测量.
主要成果:
- 在手术后,BacFuse和Coflex组的VAS,ODI和ZCQ分数均显著改善.
- 在BacFuse组,前盘高度 (11.69%),后盘高度 (22.88%) 和目标部分的前盘高度 (19.62%) 显著增加.
- 虽然两组都经历了相邻段盘高度的下降,但BacFuse组显示出与Coflex相比更好的维护趋势.
结论:
- 在腰部退行性疾病中,BacFuse静态间层稳定是Coflex动态间层稳定的一种安全有效的替代方案.
- 这两种设备都提供了显著的临床改善,但BacFuse可能在保持磁盘高度方面提供了优势.
- 在24个月的随访期间,两组都没有报告任何新的症状.
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