后入路责任节段矫形减压融合治疗退变性腰椎侧凸  

Posterior approach correction,decompression and fusion of responsible segment for degenerative lumbar scoliosis

作　　者：姜传杰[1] 杨永军[1] 谭远超[1] 姚树强[1] 周纪平[1] 刘彬[1] 

机构地区：[1]山东省文登整骨医院脊柱脊髓科,文登市264400

出　　处：《中国骨与关节损伤杂志》2013年第7期626-628,共3页Chinese Journal of Bone and Joint Injury

基　　金：山东省2012年科学技术发展项目(2012YD19004)

摘　　要：目的探讨后入路矫形减压融合责任节段治疗退变性腰椎侧凸的临床疗效。方法回顾性分析自2000年5月-2010年7月收治的退变性腰椎侧凸59例。均对责任节段进行矫形减压融合治疗，并记录分析患者术前及术后腰椎侧凸角度及Oswestry功能障碍指数（ODI）的评分情况。结果术后侧凸Cobb角矫正至8．5-18．4°。平均矫正率为59．2％，临床疗效评价采用ODI：优39例，良10例，可8例，差2例。结论针对责任节段进行矫形减压融合术治疗退变性腰椎侧凸安全有效，治疗的关键是准确判定与处理责任节段，并针对术后病情发展变化做相应处理。Objective To investigate the effect of posterior correction, decompression and fusion of the responsible segment for degenerative lumbar scoliosis. Methods From May 2000 to July 2010, 59 patients with degenerative lumbar scoliosis undergoing the treatment of posterior correction, decompression, and fusion of responsible segments were reviewed retrospectively. Cobb angle of lumbar seoliosis and Oswestry disability index （ODI） scores of all the patients were recorded and analyzed before surgery, after surgery at the final follow-up. Results The preoperative average Cobb angle was 8.5-18.4° in the group. The correction rate of Cobb angle was 59.2%. According to scores of Oswestry disability index, the result was excellent in 39 cases, good in 10 cases, fair in 8 eases, poor in 2 eases. Conclusion Degenerative lumbar scoliosis can be treated effectively and safely by lumbar posterior correction, decompression and fusion of responsible segment. Accurate judgment and treatment of the responsible segment are the key point and the corresponding treatment according to the development and changes of postoperative condition is necessary.

关 键 词：责任节段 退变性腰椎侧凸 后入路 减压 融合 

分 类 号：R687.3[医药卫生—骨科学]