Clinical observation of the surgical treatment for 30 patients with discogenic low back pain_West China Medical Journal

Authors：

 DENG Ruoyi , JIA Tao , YU Limin , REN Dawei , XI Tianping , QIU Wei

Department of Orthopedics, Guangyuan Central Hospital, Guangyuan, Sichuan 628000, P. R. China;

Corresponding author：

DENG Ruoyi, Email: coldicerain@163.com

Keywords：

Discogenic low back pain; Posterior lumber verteral fusion; Therapeutic effect

DOI：

10.7507/1002-0179.201607027

Video：

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Objective To evaluate the clinical effects of surgical treatment for 30 patients with discogenic low back pain. Methods A total of 30 patients with 36 intervertebral discs were treated with posterior approach lumbar discectomy and interbody fusion with internal fixation by strict criteria. All patients were followed up for one year. The low back pain before and one year after surgery was evaluated by Japanese Orthopaedic Association (JOA) score and Visual Analogue Scale (VAS) score. Results The patients’ JOA score increased from 14.6±2.3 (before operation) to 27.1±0.9 (one year after operation) (t=–26.936, P<0.001), while the patients’ VAS score decreased from 6.2±1.6 (before operation) to 1.4±0.9 (one year after operation) (t=16.335, P<0.001), and the differences were significant. Conclusion When the conservative treatment is invalid, the operation of posterior lumbar intervertebral fusion is an effective method for the patinets with discogenic low back pain.

Citation： DENG Ruoyi, JIA Tao, YU Limin, REN Dawei, XI Tianping, QIU Wei. Clinical observation of the surgical treatment for 30 patients with discogenic low back pain. West China Medical Journal, 2017, 32(10): 1505-1508. doi: 10.7507/1002-0179.201607027 Copy

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10.	刘丰平, 赵红卫, 陈海丹. 微创手术治疗椎间盘源性腰痛临床应用进展. 实用医学杂志, 2014, 30(8): 1179-1181.
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12.	史金辉, 杨炎, 周峰, 等. 微创腰椎间盘分流术治疗椎间盘源性腰痛. 中华骨科杂志, 2014(8): 807-815.
13.	李永华, 胡子昂, 范顺武, 等. 椎间盘封闭术对纤维环破裂型椎间盘源性腰痛的诊治价值. 中华骨科杂志, 2012, 32(9): 867-871.
14.	刘剑锋. 臭氧髓核溶解术治疗椎间盘源性腰痛疗效观察. 中国基层医药, 2013, 20(1): 78-79.
15.	胡永胜. 阿曼, 周刚, 等. 椎间盘源性腰痛的治疗方法选择及疗效评价. 中国矫形外科杂志, 2013, 21(15): 1497-1501.
16.	王华东, 侯树勋, 史亚民, 等. 腰椎后路椎体间融合治疗椎间盘源性腰痛的疗效观察. 中国骨与关节杂志, 2015(12): 969-972.

1. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J, 2007, 8(1): 8-20.
2. 胡有谷, 李放, 张永刚, 等. 椎间盘源性腰痛. 中国脊柱脊髓杂志, 2004, 14(6): 327-330.
3. 袁慧书, 庞超楠, 刘晓光, 等. CT 引导下椎间盘造影对椎间盘源性腰痛的诊断价值. 中国脊柱脊髓杂志, 2009, 19(6): 412-415.
4. 郭钧, 陈仲强, 郭昭庆, 等. 椎间盘源性腰痛的诊断与治疗. 中华骨科杂志, 2007, 27(3): 167-171.
5. 江正, 尹宗生. 椎间盘源性腰痛的病理生理学机制及组织工程学技术. 中国组织工程研究与临床康复, 2010, 14(20): 3736-3739.
6. Burke JG, Watson RW, Mccormack D, et al. Intervertebral discs which cause low back pain secrete high levels of proinflammatory mediators. J Bone Joint Surg Br, 2002, 84(2): 196-201.
7. Freemont AJ, Watkins A, Le Maitre C, et al. Nerve growth factor expression and innervation of the painful intervertebral disc. J Pathol, 2002, 197(3): 286-292.
8. Brisby H. Pathology and possible mechanisms of nervous system response to disc degeneration. J Bone Joint Surg Am, 2006, 88(Suppl 2): 68-71.
9. 郭钧, 陈仲强, 郭昭庆, 等. 椎间盘源性腰痛的临床特点与治疗. 中国脊柱脊髓杂志, 2007, 17(3): 177-181.
10. 刘丰平, 赵红卫, 陈海丹. 微创手术治疗椎间盘源性腰痛临床应用进展. 实用医学杂志, 2014, 30(8): 1179-1181.
11. 徐进, 马信龙, 孙晓雷, 等. 射频热凝术结合臭氧治疗椎间盘源性腰痛的临床效果. 天津医药, 2016, 44(3): 278-280.
12. 史金辉, 杨炎, 周峰, 等. 微创腰椎间盘分流术治疗椎间盘源性腰痛. 中华骨科杂志, 2014(8): 807-815.
13. 李永华, 胡子昂, 范顺武, 等. 椎间盘封闭术对纤维环破裂型椎间盘源性腰痛的诊治价值. 中华骨科杂志, 2012, 32(9): 867-871.
14. 刘剑锋. 臭氧髓核溶解术治疗椎间盘源性腰痛疗效观察. 中国基层医药, 2013, 20(1): 78-79.
15. 胡永胜. 阿曼, 周刚, 等. 椎间盘源性腰痛的治疗方法选择及疗效评价. 中国矫形外科杂志, 2013, 21(15): 1497-1501.
16. 王华东, 侯树勋, 史亚民, 等. 腰椎后路椎体间融合治疗椎间盘源性腰痛的疗效观察. 中国骨与关节杂志, 2015(12): 969-972.

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