脊柱截骨矫形技术治疗成人复杂脊柱侧后凸畸形的疗效及安全性  

The Efficacy and Safety of Spinal Osteotomy and Orthopedic Technique in the Treatment of Complex Kyphosis in Adults

作　　者：马志强[1] 董竹林[1] MA Zhi-qiang;DONG Zhu-lin(Department of Orthopedics,TEDA Hospital,Tianjin 300457,China)

机构地区：[1]天津市泰达医院骨科,天津300457

出　　处：《医学信息》2021年第14期136-138,共3页Journal of Medical Information

摘　　要：目的评价成人复杂脊柱侧后凸畸形脊柱截骨矫形技术治疗的疗效及安全性。方法选取2015年10月~2020年10月在我院诊治的47例复杂脊柱侧后凸畸形成人患者为研究对象,均采用脊柱截骨矫形技术治疗,比较手术前后侧凸Cobb角、最大后凸Cobb角、冠状面和矢状面平衡、VAS评分、Oswestry功能障碍评分、生活质量评分以及并发症发生率。结果患者术后侧凸Cobb角、最大后凸Cobb角、冠状面和矢状面平衡均小于术前,差异有统计学意义(P<0.05);术后VAS评分、Oswestry功能障碍评分均低于术前,生活质量各维度评分均高于术前,差异有统计学意义(P<0.05);随访期间,并发症发生率25.53%。结论脊柱截骨矫形技术治疗成人复杂脊柱侧后凸畸形效果确切,矫正角度大,可重建脊柱三维立体面平衡,提高生活质量水平,减轻疼痛评分,改善脊柱功能障碍。但对于并发症发生的风险,临床应严格把控手术适应症,加强手术操作,以降低并发症的发生情况。Objective To evaluate the efficacy and safety of spine osteotomy and orthopedic technology in the treatment of adult complex kyphosis.Methods A total of 47 patients with complex kyphosis who were diagnosed and treated in our hospital from October 2015 to October 2020 were selected as the research objects.All patients were treated with spine osteotomy and orthopedic technology.The Cobb angle of scoliosis,the maximum kyphotic Cobb angle,coronal and sagittal balance,VAS score,Oswestry dysfunction score,quality of life score,and complication rate were compared before and after surgery.Results The postoperative scoliosis Cobb angle,maximum kyphotic Cobb angle,coronal plane and sagittal plane balance were all smaller than those before operation,the difference was statistically significant(P<0.05);The postoperative VAS score and Oswestry dysfunction score were lower than those before operation,and the scores of all dimensions of quality of life were higher than those before operation,the difference was statistically significant(P<0.05);During the follow-up,the complication rate was 25.53%.Conclusion Spinal osteotomy and orthopedic technique is effective in treating complex kyphosis in adults,with a large correction angle,which can reconstruct the balance of the three-dimensional plane of the spine,improve the quality of life,reduce pain scores,and improve spinal dysfunction.However,the risk of complications should be strictly controlled in clinical practice,and surgical operations should be strengthened to reduce the occurrence of complications.

关 键 词：复杂脊柱侧后凸畸形 脊柱截骨术 矫形 COBB角 

分 类 号：R682.3[医药卫生—骨科学]