摘要
目的探讨经腰椎后路矫形植骨内固定术治疗退行性腰椎侧凸合并椎管狭窄症(DLSS)的疗效。方法回顾性分析2008年6月至2012年6月本院收治19例退行性腰椎侧凸并椎管狭窄患者的临床资料。所有患者均采用腰椎后路减压、矫形固定、融合手术治疗。采用症状视觉模拟评估表(VAS)、Oswestry功能障碍指数评分表(ODI)、腰椎冠状位Cobb角对患者治疗前和末次随访时神经功能恢复情况及矫正角度进行评价。结果全部病例获得随访,随访时间6～31个月,平均13个月。术前患者平均VAS评分(7.14±1.04)分,ODI评分(63.89±11.78)%,末次随访患者平均VAS评分(2.35±0.98)分(与术前比较,P<0.05),ODI评分(25.54±9.72)%(与术前比较,P<0.05),Cobb角由术前平均(24.32°±10.52°)矫正至术后平均(10.56°±7.12°),ODI改善优良率为73.68%。随访期间矫正角度无明显丢失及内固定断裂,植骨融合率100%。结论腰椎后路节段减压植骨内固定是一种治疗退行性腰椎侧凸合并椎管狭窄症的有效方法之一。
Objective To observe the effectiveness of pedicle internal fixation surgery in the treatment of the degenerative lumbar stenosis with scoliosis（DLSS）. Methods The clinical data of 19 DLSS patients who were addmitied into our hospital from June 2008 to June 2012 were analysed retrospectively. All the patients were underwent lumbar spine posterior decompression, orthopaedics fixation, and fusion. Visual analog symptom rating scale（VAS） ,Oswestry disability index（ODI） and the lumbar coronal Cobb angle were used for efficacy assessment. Results All patients were followed up for 6 - 31 months, at the mean time of 13 months. The mean preoperative VAS was （7.14 ± 1.04） point, ODI was （63.89 ± 11.78） % , Cobb angle was （24.32° ± 10.52° ）. The mean VAS of the last follow-up was （2.35 ± 0.98） point, ODI was （25.54 ± 9.72） %. Compared with the preoperative scores, it is of obvious difference（P 〈 0.05 ）. The Cobb angle was （ 10.56° ± 7.12° ） at the last follow-up, the differenee was significant compared with the preoperative Cobb angle of （ 24.32° ± 10.52° ）. There was no obvious corrective angle loss and no internal fixation failure occurred during the follow-up, and the rate of fusion for bone graft was 100%. Conclusion Pediele internal fixation surgery is an effeetive treatment for degenerative lumbar stenosis with scoliosis.
出处
《局解手术学杂志》
2013年第3期272-274,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
退行性腰椎侧凸
椎管狭窄
脊柱融合
degenerative lumbar scoliosis
spinal stenosis
spinal fusion
