Abstract:
Background:There are various posterior fixations utilized with transforaminal lumbar interbody fusion (TLIF). Previous studies have focused on the comparison of two fixation techniques. Materials and Methods:Sixty five patients with single-level lumbar disease were included in this retrospective study. Group A was treated by TLIF with bilateral pedicle screw (BPS), Group B treated by TLIF with unilateral pedicle screw (UPS), and Group C treated by TLIF with UPS plus contralateral translaminar facet screw (UPSFS). The operative time, blood loss, Oswestry disability index (ODI), Japanese Orthopaedic Association Scores (JOA), and visual analog scores (VAS) were recorded. Radiographic examination was used to assess fusion rates and incidence of screw failure. Results:The blood loss and operative times were 188.69 ± 37.69 ml and 132.96.5 ± 8.69 min in BPS group, 117.27 ± 27.11 ml and 99.32 ± 12.94 min in UPS group, and 121.50 ± 22.54 ml and 112.55 ± 9.42 min in UPSFS group; UPS and UPSFS were better than BPS (P < 0.05). The mean followup time was 38.2 months. Fusion rates were - BPS group: 95.6%, UPS group: 90%, UPSFS: 95% (P > 0.05). Screw and/or rod failures were found in three groups (BPS group: 1, UPS group: 2 and UPSFS: 1, P > 0.05). The average postoperative VAS, ODI, and JOA scores of BPS, UPS, and UPSFS were improved significantly in each group compared to preoperative scores (P < 0.05); there were no significant differences between any two groups at each followup time point (P > 0.05). Conclusion:UPSFS with TLIF is a viable treatment option that provides satisfactory clinical results; the clinical outcome and the complication rate were comparable to BPS. In addition, the invasive of UPSFS cases was comparable to UPS and better than BPS cases. For UPS, it could be used in suitable patients.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Hu Y,Zhu BK,Kepler CK,Yuan ZS,Dong WX,Sun XYdoi
10.4103/ortho.IJOrtho_282_18subject
Has Abstractpub_date
2019-07-01 00:00:00pages
542-547issue
4eissn
0019-5413issn
1998-3727pii
IJOrtho-53-542journal_volume
53pub_type
杂志文章abstract:Background:The earlier studies did not assess the associated factors of anterolateral ligament injury, comprehensively. We sought to evaluate the independent predictive factors of anterolateral ligament injury in the patients with anterior cruciate ligament tear. Ultrasound scan has an emerging role in the diagnosis of...
journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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更新日期:2020-09-10 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.104240
更新日期:2012-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
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更新日期:2015-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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更新日期:2017-05-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_196_16
更新日期:2018-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章,评审
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.132503
更新日期:2014-05-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_231_16
更新日期:2017-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
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更新日期:2020-07-02 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.83946
更新日期:2011-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:
更新日期:2011-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_590_17
更新日期:2019-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_245_17
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Locked plating has become popular and has clear biomechanical advantages when compared with conventional plating. When combined with minimally invasive surgical techniques, locked plating may cause substantially less iatrogenic tissue damage when compared with conventional plating. These characteristics may ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.43390
更新日期:2008-10-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.177575
更新日期:2016-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章,评审
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00059-w
更新日期:2020-03-11 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_25_17
更新日期:2019-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.61997
更新日期:2010-04-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_430_17
更新日期:2019-03-01 00:00:00
abstract::Oncogenic osteomalacia is a rare association between mesenchymal tumors and hypophosphatemic rickets. It is more of a biochemical entity than a clinical one. The pathophysiology of the tumor is not clear. However, it has been seen that the clinical and biochemical parameters become normal if the lesion responsible for...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.69320
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Hip arthroscopy is considered a safe procedure, considering the relatively low rate of complications. Despite several complications have been described following this surgical procedure, the present event has not yet been described. The purpose of the present study is to report an unpublished complication fo...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.189596
更新日期:2016-09-01 00:00:00
abstract:Background:Volar locking plate (VP) and external fixation (EF) are the two most commonly used methods for treating distal radius fractures. The aim of this study was to identify which of the two treatments leads to better outcomes (clinically and radiographically) with fewer complications. Materials and Methods:A meta...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_601_16
更新日期:2018-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.114939
更新日期:2013-07-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_394_17
更新日期:2019-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.40251
更新日期:2008-04-01 00:00:00