后路经椎弓根椎体截骨术治疗胸腰椎后凸畸形  

Treatment of thoracolumbar kyphosis using posterior pedicle subtraction osteotomy

作　　者：李路[1] 陈银河[1] 杨庆国[1] 申才良[1] 尤涛[1] 张银顺[1] 李伟[1] 王磊[1] 贾金龙[1] 

机构地区：[1]安徽医科大学第一附属医院骨三科,合肥230022

出　　处：《安徽医科大学学报》2014年第8期1182-1184,共3页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金面上项目(编号:81171797)

摘　　要：回顾性分析后路单节段经椎弓根椎体截骨术(PSO)治疗20例陈旧性胸腰椎骨折后凸畸形患者的临床疗效。比较术前、术后及末次随访时后凸Cobb角、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分。通过Frankel分级评分评价患者神经功能恢复情况。术后Cobb角、VAS评分和ODI评分分别与术前相比,差异均有统计学意义(P<0.05)。末次随访时临床症状和神经功能获得较大改善。后路单节段PSO治疗陈旧性胸腰椎骨折后凸畸形是一种安全、有效术式。To retrostectively evaluate and analyze the clinical effect on posterior single-level pedicle subtraction osteotomy for treating post-traumatic thoracolumbar kyphosis of twenty patients.The kyphosis Cobb angle,visual analog scale （VAS） score and Oswestry disability index （ODI） score of post-operation and last follow-up were compared with that of preoperation.To evaluate clinical symptoms and neurological function by Frankel grade score.Postoperative Cobb angle,VAS score and ODI scores were significantly different compared with preoperative （P ＜0.05）.Clinical symptoms and neurological function ameliorated at last clinical examination.The posterior monolevel pedicle subtraction osteotomy for treatment of post-traumatic thoracolumbar kyphosis is a safe and effective procedure.

关 键 词：胸腰椎 创伤性后凸畸形 经椎弓根椎体截骨术 

分 类 号：R683.2[医药卫生—骨科学] R321.6[医药卫生—外科学]