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：

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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.	黎庆初, 尹刚辉, 张忠民, 等. 微创Wiltse入路与传统后正中入路手术治疗双节段腰椎管狭窄症的疗效比较[J]. 中国脊柱脊髓杂志, 2012, 22(9):812-817.
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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.	初同伟, 周跃, 王建, 等. 显微内窥镜下椎间盘切除术治疗腰椎间盘突出症的并发症及其处理[J]. 中国脊柱脊髓杂志, 2007, 17(11):818-822.
9.	宁尚龙, 徐宝山, 夏群, 等. 微创入路在脊柱手术中的应用[J]. 上海交通大学学报:医学版, 2008, 28(12):1513-1517.
10.	薛华明, 涂意辉, 蔡珉巍, 等. 微创单侧TLIF辅助单边钉棒固定治疗腰椎间盘病变的初步报告[J]. 生物医学工程与临床, 2009, 6(6):533-538.
11.	缪国平, 崔志明, 徐冠华, 等. QUADRANT通道下单侧椎弓根固定单枚cage植入与双侧固定治疗LDH的比较分析[J]. 实用骨科杂志, 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.	何向阳, 李平生, 林国叶, 等. 微创Quadrant系统在腰椎退变疾病手术中的应用[J]. 颈腰痛杂志, 2013, 34(1):22-25.

1. 黎庆初, 尹刚辉, 张忠民, 等. 微创Wiltse入路与传统后正中入路手术治疗双节段腰椎管狭窄症的疗效比较[J]. 中国脊柱脊髓杂志, 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. 范顺武, 胡志军, 方向前. 腰椎后路手术中脊旁肌保护的相关思考[J]. 中华骨科杂志, 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. 初同伟, 周跃, 王建, 等. 显微内窥镜下椎间盘切除术治疗腰椎间盘突出症的并发症及其处理[J]. 中国脊柱脊髓杂志, 2007, 17(11):818-822.
9. 宁尚龙, 徐宝山, 夏群, 等. 微创入路在脊柱手术中的应用[J]. 上海交通大学学报:医学版, 2008, 28(12):1513-1517.
10. 薛华明, 涂意辉, 蔡珉巍, 等. 微创单侧TLIF辅助单边钉棒固定治疗腰椎间盘病变的初步报告[J]. 生物医学工程与临床, 2009, 6(6):533-538.
11. 缪国平, 崔志明, 徐冠华, 等. QUADRANT通道下单侧椎弓根固定单枚cage植入与双侧固定治疗LDH的比较分析[J]. 实用骨科杂志, 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. 何向阳, 李平生, 林国叶, 等. 微创Quadrant系统在腰椎退变疾病手术中的应用[J]. 颈腰痛杂志, 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

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