Comparison of Early Efficacy between Quadrant Channel System and the Traditional Method in the Treatment of Lumbar Disc Herniation_West China Medical Journal

Authors：

 XUTian-fa ,  FUZhi-hou

Department of Orthopedics, General Hospital of Jinan Military Command of Chinese PLA, Jinan, Shandong 250031, P. R. China;

Corresponding?author：

FUZhi-hou, Email: jzgbfzh@aliyun.com

Keywords：

Quadrant channel; Traditional method; Lumbar disc herniation; Efficacy

DOI：

10.7507/1002-0179.20150305

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the early efficacy between Quadrant channel and traditional method in treating lumbar disc herniation. Method Between July 2010 and December 2012, 60 patients with lumbar disc herniation were randomly divided into two groups with 30 in each. Quadrant channel and traditional method were used respectively to do the same one single segmental pedicle screw fixation with single pieces of cage bone grafting fusion and internal fixation. Then, we compared the two groups in incision length, operative time, blood loss, incision healing time and postoperative incidence of low back pain between the two groups of patients. Results There were no significant differences between the two groups in terms of operation time, blood loss, and recent curative effect (P>0.05), while Quadrant channel was superior in small skin incision, reduced incidence of low back pain, and shorter postoperative incision healing time (P<0.05). Conclusions Treatment of lumbar disc herniation using Quadrant channel is minimally invasive with less complications. Mid-and long-term efficacy remains to be further analyzed.

Citation： XUTian-fa, FUZhi-hou. Comparison of Early Efficacy between Quadrant Channel System and the Traditional Method in the Treatment of Lumbar Disc Herniation. West China Medical Journal, 2015, 30(6): 1063-1066. doi: 10.7507/1002-0179.20150305 Copy

1.	黎慶初, 尹剛輝, 張忠民, 等. 微創Wiltse入路與傳統后正中入路手術治療雙節段腰椎管狹窄癥的療效比較[J]. 中國脊柱脊髓雜志, 2012, 22(9):812-817.
2.	Wang J, Zhou Y, Zhang ZF, et al. Comparison of one-level minimally invasive and open transforaminal lumbar interbody fusion in degenerative and isthmic spondylolisthesis grades 1 and 2[J]. Eur Spine J, 2010, 19(10):1780-1784.
3.	范順武, 胡志軍, 方向前. 腰椎后路手術中脊旁肌保護的相關思考[J]. 中華骨科雜志, 2011, 31(4):400-407.
4.	Selznick LA, Shamji MF, Isaacs RE. Minimally invasive interbody fusion for revision lumbar surgery technical feasibility and safety[J]. J Spinal Disord Tech, 2009, 22(3):207-213.
5.	Majani G, Tiengo M, Giardini A, et al. Relationship between MPQ and VAS in 962 patients. A rationale for their use[J]. Minerva Anestesiol, 2003, 69(1/2):67-73.
6.	Fairbank JC, Pynsent PB. The Oswestry disability index[J]. Spine (Phila Pa 1976), 2000, 25(22):2940-2952.
7.	Muto M, Andreula C, Leonardi M. Treatment of herniated lumbar disc by intradiscal and intraforaminal oxygen-ozone(O2-O3)injection[J]. J Neuroradiol, 2004, 31(3):183-189.
8.	初同偉, 周躍, 王建, 等. 顯微內窺鏡下椎間盤切除術治療腰椎間盤突出癥的并發癥及其處理[J]. 中國脊柱脊髓雜志, 2007, 17(11):818-822.
9.	寧尚龍, 徐寶山, 夏群, 等. 微創入路在脊柱手術中的應用[J]. 上海交通大學學報:醫學版, 2008, 28(12):1513-1517.
10.	薛華明, 涂意輝, 蔡珉巍, 等. 微創單側TLIF輔助單邊釘棒固定治療腰椎間盤病變的初步報告[J]. 生物醫學工程與臨床, 2009, 6(6):533-538.
11.	繆國平, 崔志明, 徐冠華, 等. QUADRANT通道下單側椎弓根固定單枚cage植入與雙側固定治療LDH的比較分析[J]. 實用骨科雜志, 2012, 18(11):970-972.
12.	Kim KT, Lee SH, Suk KS, et al. The quantitative analysis of tissue injury markers after mini-open lumbar fusion[J]. Spine (Phila Pa 1976), 2006, 31(6):712-716.
13.	Ghahreman A, Ferch RD, Rao PJ, et al. Minimal access versus open posterior lumbar interbody fusion in the treatment of spondylolisthesis[J]. Neurosurgery, 2010, 66(2):296-304.
14.	何向陽, 李平生, 林國葉, 等. 微創Quadrant系統在腰椎退變疾病手術中的應用[J]. 頸腰痛雜志, 2013, 34(1):22-25.

1. 黎慶初, 尹剛輝, 張忠民, 等. 微創Wiltse入路與傳統后正中入路手術治療雙節段腰椎管狹窄癥的療效比較[J]. 中國脊柱脊髓雜志, 2012, 22(9):812-817.
2. Wang J, Zhou Y, Zhang ZF, et al. Comparison of one-level minimally invasive and open transforaminal lumbar interbody fusion in degenerative and isthmic spondylolisthesis grades 1 and 2[J]. Eur Spine J, 2010, 19(10):1780-1784.
3. 范順武, 胡志軍, 方向前. 腰椎后路手術中脊旁肌保護的相關思考[J]. 中華骨科雜志, 2011, 31(4):400-407.
4. Selznick LA, Shamji MF, Isaacs RE. Minimally invasive interbody fusion for revision lumbar surgery technical feasibility and safety[J]. J Spinal Disord Tech, 2009, 22(3):207-213.
5. Majani G, Tiengo M, Giardini A, et al. Relationship between MPQ and VAS in 962 patients. A rationale for their use[J]. Minerva Anestesiol, 2003, 69(1/2):67-73.
6. Fairbank JC, Pynsent PB. The Oswestry disability index[J]. Spine (Phila Pa 1976), 2000, 25(22):2940-2952.
7. Muto M, Andreula C, Leonardi M. Treatment of herniated lumbar disc by intradiscal and intraforaminal oxygen-ozone(O2-O3)injection[J]. J Neuroradiol, 2004, 31(3):183-189.
8. 初同偉, 周躍, 王建, 等. 顯微內窺鏡下椎間盤切除術治療腰椎間盤突出癥的并發癥及其處理[J]. 中國脊柱脊髓雜志, 2007, 17(11):818-822.
9. 寧尚龍, 徐寶山, 夏群, 等. 微創入路在脊柱手術中的應用[J]. 上海交通大學學報:醫學版, 2008, 28(12):1513-1517.
10. 薛華明, 涂意輝, 蔡珉巍, 等. 微創單側TLIF輔助單邊釘棒固定治療腰椎間盤病變的初步報告[J]. 生物醫學工程與臨床, 2009, 6(6):533-538.
11. 繆國平, 崔志明, 徐冠華, 等. QUADRANT通道下單側椎弓根固定單枚cage植入與雙側固定治療LDH的比較分析[J]. 實用骨科雜志, 2012, 18(11):970-972.
12. Kim KT, Lee SH, Suk KS, et al. The quantitative analysis of tissue injury markers after mini-open lumbar fusion[J]. Spine (Phila Pa 1976), 2006, 31(6):712-716.
13. Ghahreman A, Ferch RD, Rao PJ, et al. Minimal access versus open posterior lumbar interbody fusion in the treatment of spondylolisthesis[J]. Neurosurgery, 2010, 66(2):296-304.
14. 何向陽, 李平生, 林國葉, 等. 微創Quadrant系統在腰椎退變疾病手術中的應用[J]. 頸腰痛雜志, 2013, 34(1):22-25.

West China Medical Journal

Comparison of Early Efficacy between Quadrant Channel System and the Traditional Method in the Treatment of Lumbar Disc Herniation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content