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[Clinical control study in treating degenerative lumbar instability with single or double carbon fiber cages].
Zhongguo Gu Shang. 2009 Oct; 22(10):733-7.ZG

Abstract

OBJECTIVE

To compare the clinical and radiologic effect in treating degenerative lumbar instability with single or double carbon fiber cages.

METHODS

From November 2005 to October 2006, 97 patients of degenerative lumbar instability were followed up more than two years. All cases underwent pedicle screw fixation. Meanwhile, 41 of them, named group A, were applied with single carbon fiber cage, with 23 males and 18 females, aged for 35-70 years, including 38 cases with single vertebral instability and 3 cases with existing L4.5 and L5S1 intervertebral instability. The other 56 cases, named group B, were treated with two carbon fiber cages, with 32 males and 24 females, aged for 33-72 years, including 53 cases with single vertebral instability and 3 cases existing L4.5 and L5S1 intervertebral instability. The clinical effect, intervertebral fusion ratio and lost intervertebral height were compared between two groups.

RESULTS

All patients were followed up for 24-35 months, with an average of 28 months. Clinical effects (including symptom, sign, daily action and bladder function) were evaluated according to JOA 29 score. In group A: the JOA score improve from 10.11 +/- 2.40 preoperative to 24.88 +/- 2.30 at final follow-up, 25 cases obtained excellent results, 12 good, 4 fair; 39 cases obtained fusion with the fusion ratio of 95.1% (39/41). In group B: the JOA score from 9.62 +/- 2.60 preoperative to 25.19 +/- 2.40 at final follow-up, 37 cases obtained excellent results, 13 good, 6 fair; 53 cases obtained fusion with the fusion ratio of 94.6% (53/56). In the 7th day after operation, the average intervertebral height in group A was (11.2 +/- 1.2) mm,and that of group B was (11.3 +/- 1.4) mm. Two years later, the average intervertebral height in group A was (11.0 +/- 1.4) mm, while that of group B was (11.1 +/- 1.4) mm. There was no significant difference between two groups in clinical effect, intervertebral fusion ratio and lost intervertebral height (P > 0.05).

CONCLUSION

Pedicle screw fixation and single or double carbon fiber cages in treating degenerative lumbar instability both can obtain satisfactory curative effect. Single carbon fiber cage has advantages such as minimally trauma, simply operation, retentively posterior column structure, cheaply price than double carbon fiber cages.

Authors+Show Affiliations

Zhang JQ
Department of the 2nd Orthopaedics, the Hospital of Zhejiang Armed Police Force, Jiaxing 314000, Zhejiang, China. gkzjq@163.com
Dong LQ
No affiliation info available
Jin CY
No affiliation info available
Zeng ZY
No affiliation info available
Hang JF
No affiliation info available
Xiang J
No affiliation info available

MeSH

AdultAgedFemaleFollow-Up StudiesFracture Fixation, InternalHumansInternal FixatorsLumbar VertebraeMaleMiddle AgedNeurodegenerative DiseasesTreatment Outcome

Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

19902745

Citation

Zhang, Jian-Qiao, et al. "[Clinical Control Study in Treating Degenerative Lumbar Instability With Single or Double Carbon Fiber Cages]." Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, vol. 22, no. 10, 2009, pp. 733-7.
Zhang JQ, Dong LQ, Jin CY, et al. [Clinical control study in treating degenerative lumbar instability with single or double carbon fiber cages]. Zhongguo Gu Shang. 2009;22(10):733-7.
Zhang, J. Q., Dong, L. Q., Jin, C. Y., Zeng, Z. Y., Hang, J. F., & Xiang, J. (2009). [Clinical control study in treating degenerative lumbar instability with single or double carbon fiber cages]. Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, 22(10), 733-7.
Zhang JQ, et al. [Clinical Control Study in Treating Degenerative Lumbar Instability With Single or Double Carbon Fiber Cages]. Zhongguo Gu Shang. 2009;22(10):733-7. PubMed PMID: 19902745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical control study in treating degenerative lumbar instability with single or double carbon fiber cages]. AU - Zhang,Jian-Qiao, AU - Dong,Li-Qiang, AU - Jin,Cai-Yi, AU - Zeng,Zhong-You, AU - Hang,Jian-Fu, AU - Xiang,Jun, PY - 2009/11/12/entrez PY - 2009/11/12/pubmed PY - 2009/12/16/medline SP - 733 EP - 7 JF - Zhongguo gu shang = China journal of orthopaedics and traumatology JO - Zhongguo Gu Shang VL - 22 IS - 10 N2 - OBJECTIVE: To compare the clinical and radiologic effect in treating degenerative lumbar instability with single or double carbon fiber cages. METHODS: From November 2005 to October 2006, 97 patients of degenerative lumbar instability were followed up more than two years. All cases underwent pedicle screw fixation. Meanwhile, 41 of them, named group A, were applied with single carbon fiber cage, with 23 males and 18 females, aged for 35-70 years, including 38 cases with single vertebral instability and 3 cases with existing L4.5 and L5S1 intervertebral instability. The other 56 cases, named group B, were treated with two carbon fiber cages, with 32 males and 24 females, aged for 33-72 years, including 53 cases with single vertebral instability and 3 cases existing L4.5 and L5S1 intervertebral instability. The clinical effect, intervertebral fusion ratio and lost intervertebral height were compared between two groups. RESULTS: All patients were followed up for 24-35 months, with an average of 28 months. Clinical effects (including symptom, sign, daily action and bladder function) were evaluated according to JOA 29 score. In group A: the JOA score improve from 10.11 +/- 2.40 preoperative to 24.88 +/- 2.30 at final follow-up, 25 cases obtained excellent results, 12 good, 4 fair; 39 cases obtained fusion with the fusion ratio of 95.1% (39/41). In group B: the JOA score from 9.62 +/- 2.60 preoperative to 25.19 +/- 2.40 at final follow-up, 37 cases obtained excellent results, 13 good, 6 fair; 53 cases obtained fusion with the fusion ratio of 94.6% (53/56). In the 7th day after operation, the average intervertebral height in group A was (11.2 +/- 1.2) mm,and that of group B was (11.3 +/- 1.4) mm. Two years later, the average intervertebral height in group A was (11.0 +/- 1.4) mm, while that of group B was (11.1 +/- 1.4) mm. There was no significant difference between two groups in clinical effect, intervertebral fusion ratio and lost intervertebral height (P > 0.05). CONCLUSION: Pedicle screw fixation and single or double carbon fiber cages in treating degenerative lumbar instability both can obtain satisfactory curative effect. Single carbon fiber cage has advantages such as minimally trauma, simply operation, retentively posterior column structure, cheaply price than double carbon fiber cages. SN - 1003-0034 UR - https://www.unboundmedicine.com/medline/citation/19902745/[Clinical_control_study_in_treating_degenerative_lumbar_instability_with_single_or_double_carbon_fiber_cages]_ L2 - https://medlineplus.gov/degenerativenervediseases.html DB - PRIME DP - Unbound Medicine ER -