Effect and Imaging Study of CT 3D Reconstruction Technique in Lumbar Degenerative Diseases MIS-TLIF
Objective To investigate the effect and imaging results of three-dimensional CT reconstruction in lumbar degenerative diseases MIS-TLIF.Methods A total of 106 patients with lumbar degenerative diseases in The Fourth People's Hospital of Hengshui from April 2021 to April 2023 were prospectively selected as the study objects,and divided into 53 cases by random number table method.The control group was treated with MIS-TLIF,and the study group was treated with CT 3D reconstruction assisted with MIS-TLIF.Perioperative indicators,imaging results(nail placement accuracy,degree of penetration,interbody fusion status),complications,and cytokines[interleukin-10(IL-10),tumor necrosis factor-α(TNF-α),IL-17]and Oswestry Dysfunction Index(ODI)and Visual Analogue Scale(VAS)scores before and after surgery were analyzed in 2 groups.Results Compared with the control group,the study group had less intraoperative blood loss and fluoroscopy times,shorter hospital stay and each screw insertion time,and longer operation time(P＜0.05).The Gertzbein-Robbins and FJV grades of the study group were better than those of the control group(P＜0.05).On the 1st day after operation,serum IL-10,TNF-α and IL-17 contents in 2 groups were higher than those before operation,and those in study group were lower than those in control group(P＜0.05).At 5,6 and 12 months after surgery,VAS and ODI scores in 2 groups were lower than those before surgery(P＜0.05).There was no significant difference in interbody fusion status and complication rate between the two groups(P＞0.05).Conclusion CT 3D reconstruction is effective in lumbar degenerative diseases MIS-TLIF,which is helpful to reduce the number of fluoroscopy,improve the accuracy of nail placement,shorten the length of hospital stay,and has little effect on cytokines.
万方数据
维普
