Effect of spinal fusion combined with artificial disc implantation on lumbar disc herniation
Objective To observe the effect of spinal fusion combined with artificial intervertebral disc implantation on lumbar disc herniation.Methods Sixty patients with lumbar disc herniation admitted to the First Affiliated Hospital of Zhengzhou University from July 2021 to August 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with 30 cases in each group.The control group only received spinal fusion,and the observation group received spinal fusion combined with artificial disc implantation.The surgical indicators(operative time,amount of intraoperative blood loss),lumbar function[Japanese Orthopaedic Association(JOA)score],pain degree[visual analogue scale(VAS)score],imaging assessment(intervertebral height,operative level of motion),and the rate of adjacent level of vertebral degeneration 1 year after surgery were compared between the two groups.Results The operative time and amount of intraoperative blood loss in the observation group were higher than those in the control group,and the differences were significant(P＜0.05).Three months after surgery,the JOA score in both groups was higher than that before surgery,and the VAS score in both groups were lower than that before surgery,the vertebral space height and operative level of motion were higher than those before surgery,and those of the observation group were better than those of the control group,the differences were significant(P＜0.05).The degeneration rate of adjacent vertebra in the observation group were lower than that in the control group one year after surgery,and the difference was significant(P＜0.05).Conclusions Spinal fusion combined with artificial disc implantation has a good clinical effect on lumbar disc herniation,which can effectively restore the function of the lumbar spine,relieve pain,maintain the motion of the lumbar spine,and reduce the adjacent segment degeneration rate.
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