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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2.	胡有谷, 李放, 張永剛, 等. 椎間盤源性腰痛. 中國脊柱脊髓雜志, 2004, 14(6): 327-330.
3.	袁慧書, 龐超楠, 劉曉光, 等. CT 引導下椎間盤造影對椎間盤源性腰痛的診斷價值. 中國脊柱脊髓雜志, 2009, 19(6): 412-415.
4.	郭鈞, 陳仲強, 郭昭慶, 等. 椎間盤源性腰痛的診斷與治療. 中華骨科雜志, 2007, 27(3): 167-171.
5.	江正, 尹宗生. 椎間盤源性腰痛的病理生理學機制及組織工程學技術. 中國組織工程研究與臨床康復, 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.	郭鈞, 陳仲強, 郭昭慶, 等. 椎間盤源性腰痛的臨床特點與治療. 中國脊柱脊髓雜志, 2007, 17(3): 177-181.
10.	劉豐平, 趙紅衛, 陳海丹. 微創手術治療椎間盤源性腰痛臨床應用進展. 實用醫學雜志, 2014, 30(8): 1179-1181.
11.	徐進, 馬信龍, 孫曉雷, 等. 射頻熱凝術結合臭氧治療椎間盤源性腰痛的臨床效果. 天津醫藥, 2016, 44(3): 278-280.
12.	史金輝, 楊炎, 周峰, 等. 微創腰椎間盤分流術治療椎間盤源性腰痛. 中華骨科雜志, 2014(8): 807-815.
13.	李永華, 胡子昂, 范順武, 等. 椎間盤封閉術對纖維環破裂型椎間盤源性腰痛的診治價值. 中華骨科雜志, 2012, 32(9): 867-871.
14.	劉劍鋒. 臭氧髓核溶解術治療椎間盤源性腰痛療效觀察. 中國基層醫藥, 2013, 20(1): 78-79.
15.	胡永勝. 阿曼, 周剛, 等. 椎間盤源性腰痛的治療方法選擇及療效評價. 中國矯形外科雜志, 2013, 21(15): 1497-1501.
16.	王華東, 侯樹勛, 史亞民, 等. 腰椎后路椎體間融合治療椎間盤源性腰痛的療效觀察. 中國骨與關節雜志, 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, 張永剛, 等. 椎間盤源性腰痛. 中國脊柱脊髓雜志, 2004, 14(6): 327-330.
3. 袁慧書, 龐超楠, 劉曉光, 等. CT 引導下椎間盤造影對椎間盤源性腰痛的診斷價值. 中國脊柱脊髓雜志, 2009, 19(6): 412-415.
4. 郭鈞, 陳仲強, 郭昭慶, 等. 椎間盤源性腰痛的診斷與治療. 中華骨科雜志, 2007, 27(3): 167-171.
5. 江正, 尹宗生. 椎間盤源性腰痛的病理生理學機制及組織工程學技術. 中國組織工程研究與臨床康復, 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. 郭鈞, 陳仲強, 郭昭慶, 等. 椎間盤源性腰痛的臨床特點與治療. 中國脊柱脊髓雜志, 2007, 17(3): 177-181.
10. 劉豐平, 趙紅衛, 陳海丹. 微創手術治療椎間盤源性腰痛臨床應用進展. 實用醫學雜志, 2014, 30(8): 1179-1181.
11. 徐進, 馬信龍, 孫曉雷, 等. 射頻熱凝術結合臭氧治療椎間盤源性腰痛的臨床效果. 天津醫藥, 2016, 44(3): 278-280.
12. 史金輝, 楊炎, 周峰, 等. 微創腰椎間盤分流術治療椎間盤源性腰痛. 中華骨科雜志, 2014(8): 807-815.
13. 李永華, 胡子昂, 范順武, 等. 椎間盤封閉術對纖維環破裂型椎間盤源性腰痛的診治價值. 中華骨科雜志, 2012, 32(9): 867-871.
14. 劉劍鋒. 臭氧髓核溶解術治療椎間盤源性腰痛療效觀察. 中國基層醫藥, 2013, 20(1): 78-79.
15. 胡永勝. 阿曼, 周剛, 等. 椎間盤源性腰痛的治療方法選擇及療效評價. 中國矯形外科雜志, 2013, 21(15): 1497-1501.
16. 王華東, 侯樹勛, 史亞民, 等. 腰椎后路椎體間融合治療椎間盤源性腰痛的療效觀察. 中國骨與關節雜志, 2015(12): 969-972.

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Clinical observation of the surgical treatment for 30 patients with discogenic low back pain

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