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Unilateral Pedicle Screw Fixation with Bone Graft vs. Bilateral Pedicle Screw Fixation with Bone Graft or Cage: A Comparative Study
- Source :
- Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
- Publication Year :
- 2016
- Publisher :
- International Scientific Literature, Inc., 2016.
-
Abstract
- Background The aim of this study was to explore the clinical efficacy of unilateral pedicle screw fixation with bone graft (UPSFB) in treating single-segment lumbar degenerative diseases (LDD), as compared to bilateral pedicle screw fixation with bone graft (BPSFB) or with cage (BPSFC). Material/Methods Medical records were retrospectively collected between 01/2010 and 02/2015 in Longyao County Hospital. According to surgical methods used, all patients were divided into 3 groups: UPSFB group, BPSFB group, and BPSFC group. Clinical outcomes were evaluated by blood loss, blood transfusion, duration of operation, hospital stay, postoperative complications, interbody fusion rate, reoperation rate, medical expenses, patient satisfaction survey, and JOA score. Results Ninety-five patients were included and underwent 2.5-year follow-up, with 7 patients lost to regular follow-up. As compared to the BPSFB group and BPSFC group, the UPSFB group had less blood loss and less blood transfusion, as well as shorter hospital stay (p0.05). Conclusions As compared to BPSFB and BPSFC, UPSFB has the same reliability and effectiveness in treating single-segment LDD with unilateral radicular symptoms in a single lower extremity, with the additional advantage being less expensive.
- Subjects :
- Reoperation
medicine.medical_specialty
Blood transfusion
medicine.medical_treatment
0206 medical engineering
Blood Loss, Surgical
02 engineering and technology
Intervertebral Disc Degeneration
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Lumbar
Postoperative Complications
Blood loss
Clinical Research
Pedicle Screws
Medicine
Humans
Blood Transfusion
Orthopedic Procedures
Pedicle screw fixation
Bone Transplantation
Lumbar Vertebrae
business.industry
Medical record
General Medicine
Length of Stay
020601 biomedical engineering
Spine
Surgery
Orthopedic Fixation Devices
Spinal Fusion
Patient Satisfaction
Spinal fusion
Cage
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 16433750 and 12341010
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
- Accession number :
- edsair.doi.dedup.....5c658e378519a8f0e743cfd295ae79c8