Dissertation > Excellent graduate degree dissertation topics show

The Analysis of Influence Factors of Lumbar Adjacent Segment Degeneration after Lumbar Interbody Fusion

Author: WangFengXiong
Tutor: HanDeZuo
School: Fujian Medical
Course: Surgery
Keywords: lumbar vetebrae adjacent segment degeneration influence factors
CLC: R687.4
Type: Master's thesis
Year: 2013
Downloads: 12
Quote: 0
Read: Download Dissertation

Abstract


【Objective】To observe the influence factors,pathogenesis and preventative measuresof lumbar adjacent segment degeneration after lumbar interbody fusion.【Method】By bilateral Cohort Studies method,120patients who hospitalized a upperfirst-class hospital during March2002to April2012were cured by lumbar interbodyfusion,and they were accepted a postoperative follow-up.2case were lost at last.The118patients were accepted the measurement of lumbar X-ray photograph,they weredivided into lumbar adjacent segment degeneration group and normal group accordingto the result of X-ray.At last the probable influence factors were analysed by one-wayANOVA and analysis of covariance.【Result】The study showed that the rate of the lumbar adjacent intervertebral spacedegeneration after lumbar interbody fusion was79.66%.The one-way ANOVAanalysis showed that the difference between the degenerated group and normal groupwas statistically significant(P<0.05) as is concerned to the mode of decompression,thenumber of decompression segment,the number of internal fixationsegment,However,the number of cage and cross were no statistically significant(P>0.05).The further analysis of covariance was used to analyze the mode ofdecompression,the number of decompression segment,the number of internal fixationsegment between two groups.And the results showed as follows:when it comes to themode of decompression between two groups, the difference among the nonedecompression,fenestration laminectomy and Semi laminectomy was no statisticallysignificantt(P>0.05),while the difference between the none decompression and wholeLaminectomy was obviously statistically significant(P<0.05),however the differencebetween Semi laminectomyand whole Laminectomy was obviously statisticallysignificant(P<0.05).when it concerned to the number of decompression segmentbetween two groups,the difference among none decompression,two segmentaldecompression,three segmental decompression and four segmental decompressionwas statistically significant(P<0.05),while the difference between the none decompression and one segmental decompression was no statistically significant(P>0.05).when it refered to the number of internal fixation segment between twogroups,the difference between none internal fixation and one segmental internalfixation was obviously statistically significant (P<0.05),while the difference amongthe none internal fixation,two segmental internal fixation,three segmental internalfixation and four segmental internal fixation was no statistically significant(P>0.05).【Conclusion】A high rate of lumbar adjacent segment degeneration in patients afterlumbar interbody fusion.The mode of decompression,the number of decompressionsegment,the number of internal fixation were the influence factors of lumbar adjacentsegment degeneration after lumbar interbody fusion,However,whether the cage wereinserted to the lumbar intervertebral space and the cross were installed or not,the rateof lumbar adjacent segment degeneration were constant.

Related Dissertations

  1. Research on the Regional Difference and Influence Factors of China’s Carbon Emissions,X502
  2. Spatial Analysis and Pollution Evaluation about Water Environment Actuality of Rural Surface Water in Typical Regions of Jiangsu Province,S271
  3. Research on the International Competitiveness of China’s Cultural Trade and Its Influence Factors,F224;G125
  4. Study on the Biogas Production from Kitchen Waste by Anaerobic Digestion,S216.4
  5. Study on Chinese Version of the Six Dimensions Scale of Nursing Perfoemance Revision, Evaluation and Application,R47
  6. Comprehensive analysis of the factors influencing the development of county economy in poverty-stricken areas in Xinjiang,F127
  7. Research on the Influence Factors and the Countermeasures of the Adaptation to Agricultural Freshmen,B844.2
  8. The Factors of Knowledge Sharing to Learners in Virtual Learning Community,G434
  9. Study on the Influence Factors of Self-confidence Development and Behavior Problems of Children Aged 3-6 Years,B844.1
  10. Female Teachers and Officials’ Healthy State and Influence Factors’ Analysis,R195
  11. Effect Evaluation and Influence Factors Study for the Creation of Smoke Free Health Care Facilities,R197.2
  12. Direct Reporting of Notifiable Infectious Diseases Network and Its Quality Influence Factors of in Binzhou City,R181.81
  13. Study on Quality of Life and Influence Factors of the patients Who Receive Continuity of Nursing Care after Permanent Intestinal Stomas,R473.73
  14. A Study on Influence Factors of Self-care of Permanent Colostomy Patients at Different Stages,R473.6
  15. Multi-factor Analysis of the Non-selective Beta Blockers in Reducing Hepatic Venous Pressure Gradient,R575.21
  16. Study on Sleep/wake Patterns and Related Influence Factors Amongst the Early Infants in Urban Area China,R174
  17. The Research on the Competitiveness of Equipment Manufacturing Industry and the Influence Factors in Hunan Province,F224
  18. Study on the Freezing Damage Mechanism and Prevention of Tunnels in Cold Regions,U457.2
  19. Empirical Research on the Influence of Strategic Orientations and Dynamic Capabilities on Choice of Technological Innovation Type,F273.1
  20. An Empirical Study of China Listed Company Stand-alone Corporate Social Responsibility Report,F270
  21. Study on the Implementation Process of Enterprise Organization Structure Innovation,F270

CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Joint Surgery
© 2012 www.DissertationTopic.Net  Mobile