The effect of early active rehabilitation training on minimally invasive lumbar fusion

Objective To investigate the effect of early active rehabilitation training on minimally invasive lumbar fusion. Methods From May 2012 to April 2015, 141 patients who underwent lumbar fusion were enrolled in the study, 69 patients in the observation group and 72 patients in the control group. The two groups received systematic drug therapy and double lower limbs straight leg raising exercise training, and the observation group received early active abdominal muscle and back muscle training on the basis of straight leg raising exercise. The visual analogue scale (VAS) was used to evaluate low back pain, the excellent rate was evaluated by the improved Macnab criteria, intervertebral bone fusion was evaluated by X-ray examination according to Suk criteria. Results There was no infection in the two groups, no fusion device shift or fall off; there were no complications of nursing. The follow-up period was from 12 to 26 months, and the average was 13.2 months. At the end of the follow-up, the excellent rate of the observation group was 95.7%, and that of the control group was 70.8%, the VAS score of the observation group decreased from (4.45±1.66) to (0.79±0.53), the VAS score of the control group decreased from (4.68±1.13) to (2.12±0.88), with statistically significant differences in the excellent rate and VAS score between the two groups (P<0.05). The intervertebral fusion was obtained in two groups. Conclusions Early active waist and back muscle rehabilitation training can be taken after the application of minimally invasive lumbar intervertebral fusion surgery with expanded intervertebral fusion device. Early active rehabilitation training can effectively promote postoperative function recovery in patients with minimally invasive lumbar spinal fusion, relieve back pain, and improve the curative effect. Key words: Spine fusion; Recovery; Minimally invasive