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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >C.04 Comparison of clinical outcomes between posterior instrumented fusion with and without interbody fusion for isthmic spondylolisthesis
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C.04 Comparison of clinical outcomes between posterior instrumented fusion with and without interbody fusion for isthmic spondylolisthesis

机译：C.04与脑脊液中的椎体椎间体融合的后仪融合之间的临床结果比较

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Background: The purpose of this study is to compare 1-year postoperative clinical outcomes between posterior instrumented fusion with (P/TLIF) and without (PLF) interbody fusion in patients with isthmic spondylolisthesis. Methods: This is a multi-centre retrospective study using the Canadian Spine Outcomes and Research Network. Adult patients who received surgical management for isthmic spondylolisthesis were included in this study. The primary outcome was change in Oswestry Disability Index at 1-year. Secondary outcomes were change in EQ-5D, SF-12 PCS, back pain, leg pain, estimated blood loss, length of surgery, length of stay, rate of transfusions and adverse events. Descriptive statistics, Student t-test, Chi-Squared test, and stepwise multivariable regression were used for analysis. Results: A total of 300 patients (252 P/TLIF, 48 PLF) were included in this study. The mean age was 50 years. The P/TLIF group had poorer baseline leg pain scores (t=2.02, p=0.01). There were no significant differences in primary and secondary outcomes between the two groups. Addition of interbody fusion was not a significant variable in the stepwise multivariable regression analysis. Conclusions: There were no significant differences in clinical outcomes at 1 year. Addition of interbody fusion was not associated with higher complication rates or length of stay.
机译：背景：本研究的目的是比较患有（P / TLIF）的后仪型融合之间的1年术后临床结果，并且没有（PLF）椎体椎体椎体椎体椎体椎间椎间体脊髓型患者。方法：这是一种使用加拿大脊柱结果和研究网络的多中心回顾性研究。本研究纳入了接受血液脊柱型脊髓晶体的外科管理的成年患者。初级结果是在1年的Oswestry残疾指数中发生变化。二次结果是EQ-5D，SF-12 PC，背部疼痛，腿部疼痛，估计损失，手术长度，留下长度，输血率和不良事件的变化。描述性统计，学生T检验，Chi平方测试和逐步多变量回归用于分析。结果：本研究中共有300名患者（252个P / TLIF，48plf）。平均年龄为50年。 P / TLIF组具有较差的基线腿部疼痛评分（T = 2.02，P = 0.01）。两组之间的主要和二次结果没有显着差异。在逐步多变量回归分析中，添加椎体融合不是一个重要的变量。结论：1年内临床结果没有显着差异。添加椎间融合与更高的并发症率或保持寿命长度无关。

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