Effects of 3D printing technology assisted posterior bone grafting combined with posterior pedicle internal fixation on inflammatory stress factors,lumbar function and quality of life in patients with scoliosis
[Objective]To investigate the effects of 3D printing technology assisted posterior bone grafting combined with posterior pedicle internal fixation on inflammatory stress factors,lumbar function and quality of life in patients with scoliosis.[Methods]Sixty patients with scoliosis admitted in Xinchen Traditional Chinese Medicine Hospital from January 2021 to January 2023 were randomly divided into two groups with 30 cases in each group.The control group was treated with posterior pedicle internal fixation,and the combined group was treated with 3D printing technology assisted with posterior bone grafting and posterior pedicle internal fixation.Surgery related indexes,Oswestry disability index(ODI),Visual Analogue Scale(VAS)score for pain,stress factors[serum creatine kinase(CK),norepinephrine(NE),cortisol(Cor)levels],lumbar function[thoracolembar kyphosis(TLK)angle,thoracic kyphosis(TK)angle,lumbar lordosis(LL)angle]were compared between the two groups.[Results]The amount of blood loss,fluoroscopy times and hospitalization days in the combined group were less than those in the control group,and the operation time was longer than that in the control group,the difference was statistically significant(P＜0.05).ODI and VAS scores of the two groups were significantly decreased one month after operation,and the reduction range of the combined group was greater than that of the control group,the difference was statistically significant(P＜0.05).The levels of Cor,NE and CK in the two groups were significantly increased 3 days after surgery,and the increases in the combined group were lower than those in the control group,with statistical significance(P＜0.05).Two weeks after operation,the improvement of TLK,TK and LL in the combined group was greater than that in the control group,and the difference was statistically significant(P＜0.05).[Conclusion]3D printing assisted posterior bone grafting combined with posterior pedicle fixation can improve lumbar function,reduce stress response and improve quality of life in patients with scoliosis,but the operation time is longer.
scoliosisposterior pedicle internal fixation3D printing technologyposterior bone graftinglumbar function
万方数据
维普
