摘要
目的:探讨手术治疗退行性腰椎侧凸的临床效果。方法:回顾分析自2000年1月～2003年12月收治的24例退行性腰椎侧凸患者的临床资料,2例采用单纯椎管减压术,22例行减压+后路矫形内固定融合术。观察手术前后Cobb角、腰背痛和间歇性跛行的改善率。结果:术后患者的症状和体征均有明显改善,疼痛改善率83.3%,间歇性跛行改善率91.6%。术前Cobb角平均22.7°(17°～42°),术后Cobb角平均8.3°(0°～32°),改善率63.4%;腰椎前凸角术前平均-19.1°(-45°～11°),术后平均-34.4°(-60°～-16.2°),改善率80.1%。随访14～50个月,平均21个月,未见矫正明显丢失,无断钉及螺钉松动。结论:手术治疗退行性腰椎侧凸能够取得比较满意的临床效果和畸形矫正效果。
Objective：To investigate clinical results of surgical treatment of degenerative scoliosis.Method： From January 2000 to December 2003,24 cases with degenerative scoliosis were analyzed for their clinical data retrospectively,2 cases underwent single decompression,22 cases had decompression and posterior correction fixation fusion.Cobb angle,lumbar pain relief rate and intermittent claudication relief rate were observed between preoperation and postoperation.Result：All clinical manifestation was improved,pain relief rate was 83.3%,claudication relief rate was 91.6% postoperative.The average preoperative Cobb angle was -22.7°（17°- 42°）,the average postoperative Cobb angle was 8.3°,the average correcting rate of scoliosis was 63.4%.The average correcting ratio of lordosis was 80.1%,average posterior Cobb angle was -34.4°（-60°--16.2°）.After an average 21 months （14-50 months） follow-up,there was no correction loss during long follow-up,no broken screw and loosening screw.Conclusion：Surgical treatment of degenerative lumbar scoliosis can attain satisfied clinical effect and deformity correcion.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2006年第3期192-195,共4页
Chinese Journal of Spine and Spinal Cord
