短节段减压融合治疗退变性腰椎侧凸症术后侧凸影像学发展的观察研究  

Dose the scoliosis increase after short-segment operation for treating degenerative lumbar scoliosis

作　　者：钱宇锋[1] 薛峰[1] 盛晓文[1] 陈兵乾[1] 

机构地区：[1]江苏省常熟市第一人民医院骨科,江苏常熟215500

出　　处：《颈腰痛杂志》2016年第1期53-56,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究短节段减压融合手术治疗退变性腰椎侧凸(DLS)后侧凸有无进展。方法2007-02-2010-02间对本院行后路短节段手术固定及保守治疗的退变性腰椎侧凸症患者进行门诊随访,并收集患者VAS、ODI评分和影像学检查资料。结果两组各43/70例患者完成平均51.3个月的随访,至末次随访时对照组VAS、ODI、Cobb角均有明显加重,且24例患者接受手术治疗;手术组Cobb角较术后初期有明显加重,但进展小于对照组。结论短节段手术治疗DLS术后能延迟侧凸的自然进展,固定节段数和是否包括顶椎区是影响术后侧凸进展的重要因素。Objective To study the increase of scoliosis after the short-segment operation for treating degenerative lumbar scoliosis （DLS）. Methods There were 47 postoperative and 78 expectant patients of DIS from February 2007 to February 2010 enrolled in this study. All patients were given expectant treatment. Regular follow-up was made to collect the data of VAS, ODI and X-ray. Results There were 43 cases （short-segment operation group, SSO group for short） and 70 cases （control group） completed the follow-up （37-99 months, mean 51.30 months）. The data of VAS, ODI and Cobb＇s angle increased significantly in control group until last follow-up, while that only Cobb＇s angle in SSO group. And the Cobb＇s angle of control group increased remarkably than that of SSO group. There were 24 cases accepted surgery in control group, while 7 cases accepted reoperation until last follow-up. Conclusion It suggests that the progress of DLS is delayed after accept short-segment operation, which compared with natural progress. Our study implied that there were two important factors for postoperative progress, one was the number of fusion segments and the other was apex fusion.

关 键 词：退变性腰椎侧凸 短节段 侧凸 进展 

分 类 号：R681.55[医药卫生—骨科学]