退行性腰椎侧凸的临床特点及手术疗效观察  

Clinic feature and surgical treatment for degenerative lumbar scoliosis

作　　者：赵伟峰[1] 李波[1] 周焯家[1] 丁一[1] 吴兴林[1] 

机构地区：[1]贵州省人民医院骨科,贵阳550002

出　　处：《重庆医学》2013年第21期2481-2483,共3页Chongqing medicine

摘　　要：目的退行性腰椎侧凸多并发于腰椎间盘突出、椎间关节退变及椎管狭窄等,是临床常见的脊柱畸形,进一步分析了解其临床特点,从而讨论其手术治疗方案。方法收集该科2003年8月至2010年8月的48例患者,通过了解其临床表现,分析影像学资料特征,从而探讨临床治疗方案。结果在了解退行性腰椎侧凸的基础上,根据病例不同特点而设计个性化治疗方案,取得了较好的临床疗效。结论重新认识退行性腰椎侧凸,应根据患者的临床特点、病变节段、椎管狭窄状况、椎体旋转程度、腰椎侧凸角度及腰椎失稳情况评估手术疗效,制定个性化的治疗方案。Objective Degenerative lumbar scoliosis is frequent clinic spine malformation,and it is complicated by lumbar inter- vertebral disc,joint of lumbar vertebra cataplasia and lumbar spinal stenosis. The aim of this paper is to study surgical therapeutic regimen for analyzing clinic feature of degenerative lumbar scoliosis. Methods We comprehended symptom and analyzed imageology feature for lumbar spinal stenosis through reviewing 48 cases of operation from August 2003 to August 2010,and then approached its therapeutic principle and regimen. Results There were good therapeutic effect on the basis of comprehending degenerative lum- bar scoliosis and designing different treatment plan by different case feature. Conclusion Ii is need to know degenerative lumbar scoliosis again,in order to work out individual therapeutic regimen based on clinic feather, process segment, state of spinal stenosis, angle of lumbar scoliosis,degree of vertebra rotation and lumbar destabilizing.

关 键 词：腰椎 脊柱侧凸 治疗 

分 类 号：R687.3[医药卫生—骨科学]