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后路减压全节段椎弓根钉棒固定治疗退行性脊柱侧凸 被引量:3

Posterior decompression and pedicle screw system in the treatment of degenerative scoliosis
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摘要 目的探讨采用椎管减压、全节段椎弓根钉棒系统治疗退行性脊柱侧凸的临床效果。方法总结31例退行性脊柱侧凸患者,采用后路椎管减压、椎间Vigor植入、全节段椎弓根钉棒矫形内固定、后外侧植骨融合术治疗。结果平均随访1.5年,31例患者腰椎侧凸矫形良好、腰椎生理前凸恢复满意,神经功能恢复。结论后路减压全节段椎弓根螺钉系统可达到矫形、固定、重建脊柱稳定的目的,有利于退行性脊柱侧凸患者腰背痛及神经根性症状的改善。 Objective To evaluate the clinical outcome of a group of degenerative scoliosis patients treated with the posterior spinal decompression and segmental pedicle screw and rod system. Methods 31 cases of degenerative scoliosis were treated with segmental pedicle instrumentation combined with posterior spinal canal decompression,interbody Vigor implantation and bone grafting. Results All of the 31 patients were followed up for 18 months averagely. All the patients got satisfactory effects on scoliosis correction and the recovery of lumbar lordosis. Neurological function was obviously improved after operation. Conclusion The operation of segmental pedicle screw system combined with decompression and bone grafting could have a good corrective effect of scoliosis and reconstruct the spinal stability,improve low back pain,restore the nerve function,and achieve good clinical outcome.
机构地区 解放军
出处 《颈腰痛杂志》 2012年第6期411-414,共4页 The Journal of Cervicodynia and Lumbodynia
关键词 退行性脊柱侧凸 椎管狭窄 椎弓根螺钉 degenerative scoliosis spinal stenosis pedicle screw
作者简介 作者简介:白克文(1965-),男,天津籍,副主任医师研究方向:创伤骨科,脊柱外科 通讯作者:马华松 电话:13699176173电子信箱:bkwbkw@sina.com
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参考文献14

  • 1Schwab F,Dubey A,Gamez L,et al. Adult scoliosis:prevalence, SF-36,and nutritional parameters in an elderly volunteer popu- lation[J]. Spine,2005,30(9): 1082-1085.
  • 2丁文元,申勇,曹来震,李宝俊,孙亚澎,郭金库,吴海龙.腰椎退变性侧凸患者椎间盘退行性变的影像学观测[J].中国脊柱脊髓杂志,2010,20(8):673-676. 被引量:9
  • 3Tribus CB. Degenerative lumbar scoliosis:evaluation and man- agement[J]. J Am Acad Orthop surg,2003,11(3):174-183.
  • 4Ploumis A,Transfeldt EE,Gilbert TJ,et al. Degenerative lumbar scoliosis:radiographic correlation of lateral rotatory olisthesis with neural canal dimensions[J]. Spine,2006,31(20):2353-2358.
  • 5Liu H, Ishihara H, Kanamori M, Characteristics of nerve root compression caused by degenerative lumbar spinal stenosis with scoliosis[J]. Spine J,2003,3(6):524-529.
  • 6Kuklo TR. Principles fin" selecting flosiun levels ira adult spinal delorlnity with particular attention to lumbar curves and double major eurves[J]. Spine, 2006,31 ( Suppl 19 ) : 132-138.
  • 7Shufflebarger H,Suksi,Mardjetkos. Debate:determining the upper instrumented wertebra in the management of adult degenerative seoliosis:stopping at T10 venus [J]. Spine,2006,31(Suppl 19): 185-194.
  • 8王岩,张雪松,刘郑生,肖嵩华,张永刚,刘保卫,张西峰,路宁,王征.侧弯全节段椎弓根螺钉固定治疗退行性脊柱侧凸[J].中国脊柱脊髓杂志,2005,15(4):218-221. 被引量:7
  • 9Dewald CJ,Stanley T. Instrumentation-related complications of multilewd fusions for aduh spinal detormity patients over age 65: surgical consideralions and treatment options in patients with poor bone quality[J]. Spine, 2006,31 ( Suppl 19 ) : 144-151.
  • 10Kim YJ,Bridwell KH,Lenke LG,et al. ls the T9-11,or Lt the more reliable proximal level after adult lumbar or lumbosacral instru- mented fusion to Ls or S1[J]. Spine,2007,32(24):2653-2661.

二级参考文献36

  • 1楼才俊,陈其昕,李方才,王扬生.腰椎间盘髓核退变的MRI表现与病理学的相关性研究[J].中华骨科杂志,2003,23(9):531-535. 被引量:32
  • 2兰俊,陈其昕,翟晓军,陈之青.腰椎间盘退变时椎间隙形态与腰椎曲度变化及其临床意义[J].中国临床解剖学杂志,2005,23(2):157-159. 被引量:23
  • 3张强,肖子范,张佐伦,张进禄.成人退行性腰椎侧凸症[J].中国矫形外科杂志,1994,1(4):210-212. 被引量:3
  • 4Kobayashi T,Atsuta Y,Takemitsu M,et al.A prospective study of de novo scolioais in a community based cohort[J].Spine,2006,31(2):178-182.
  • 5Benner B,Ehni G.Degenerative lumbar scoliosis[J].Spine,1979,4(6):548-552.
  • 6Clifford B.Tribus MD.degenerative lumbar scoliosis evaluation and managmEnt[J].J Am Acad Orthop Surg,2003,11(3):174-183.
  • 7Murata Y,Takahashi K,Hanaoka E,et al.Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbar scoliosis[J].Spine,2002,27(20):2268-2273.
  • 8Simmons ED.Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis[J].Clin orthop,2001,384:45-53.
  • 9Murata Y,Takahashi K,Hanaoka E,et al.Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbarscoliosis[J].Spine.2002,27(20):2268-2273.
  • 10Glassman SD,Bridwell K,Dimar JR,et al.The impact of positive sagittal bal-ance in adult spinal deformity[J].Spine,2005,30(18):2024-2029.

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