后路减压有限固定融合术治疗退变性腰椎侧凸49例分析  

Posterior Decompression and Fusion in Treatment of 49 Patients with Degenerative Lumbar Scoliosis

作　　者：王飞[1] 单建林[1] 文天林[1] 李放[1] 

机构地区：[1]北京军区总医院全军创伤骨科研究所,北京100700

出　　处：《解放军医药杂志》2014年第10期15-18,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：全军医学科技青年培育项目计划课题(13QNP010)

摘　　要：目的探讨腰椎退变性侧凸行后路减压固定融合术的临床疗效。方法回顾性分析2005年1月—2011年12月行后路手术治疗49例的临床资料,应用Oswestry功能障碍指数(ODI)和视觉模拟评分(VAS)评价术前、术后腰腿痛和神经功能情况。观察患者临床症状、生活能力改善及畸形矫正情况。结果平均随访3.8年,优良率为87.8%。手术后ODI、VAS、侧凸角、矢状面失衡比术前均有明显改善(P<0.05)。结论腰椎后路融合术治疗退行性腰椎侧凸畸形疗效确实,充分减压及脊柱平衡尤其是矢状面平衡的恢复是获得良好疗效的关键。Objective To explore the curative effect of posterior decompression and fusion in treatment of degen-erative lumbar scoliosis. Methods Clinical data of 49 patients undergoing posterior approach therapy during January 2005 and October 2011 was retrospectively analyzed. The low back pain, the lower limbs pain and neural function before and after operation were evaluated by Oswestry disability index （ ODI） and Visual analogue scale （ VAS） . Clinical symp-toms, viability improvement and deformity correction of patients were observed. Results The mean follow-up time was 3. 8 years, and the fineness rate was 87. 8%. The scores of ODI and VAS, Cobb＆#39;s angle and sagittal plane imbalance were improved after the operation compared with those before the operation, and the differences were statistically signifi-cant （P〈0. 05）. Conclusion Posterior decompression and fusion is an effective surgical method in treatment of degen-erative lumbar scoliosis. Full decompression and the spinal balance, especially the recovery of sagittal plane are the key for satisfactory treatment outcomes.

关 键 词：脊柱侧凸 退行性 减压术 外科 脊柱融合术 

分 类 号：R682.3[医药卫生—骨科学]