侧前方椎体间融合术治疗退行性腰椎侧凸的临床研究  

Clinical Study on Anterolateral Interbody Fusion in the Treatment of Degenerative Lumbar Scoliosis

作　　者：林仙德 罗元标 许斌 LIN Xiande;LUO Yuanbiao;XU Bin(Department of Orthopedics,Putian First Hospital,Putian 351100,China)

机构地区：[1]福建省莆田市第一医院骨科,福建莆田351100

出　　处：《临床医学工程》2023年第9期1217-1218,共2页Clinical Medicine & Engineering

摘　　要：目的探讨侧前方椎体间融合术治疗退行性腰椎侧凸(DLS)的临床效果。方法选取2018年1月至2021年1月我院收治的80例DLS患者,随机分为两组各40例。对照组采用传统后路截骨矫形减压融合内固定术治疗,观察组采用侧前方椎体间融合术治疗。比较两组的手术效果及并发症发生率。结果术后2周、3个月,两组的ODI、Cobb角、VAS评分均低于术前,且观察组的ODI、Cobb角、VAS评分均低于对照组(P<0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%(P<0.05)。结论侧前方椎体间融合术治疗DLS患者的效果显著,可明显降低ODI及疼痛程度,对患者冠状位有较好的矫正作用,且并发症较少。Objective To explore the clinical effect of anterolateral interbody fusion in the treatment of degenerative lumbar scoliosis(DLS).Methods 80 DLS patients admitted to our hospital from January 2018 to January 2021 were randomly divided into two groups,with 40 cases in each group.The control group was treated with traditional posterior osteotomy,decompression,fusion and internal fixation,while the observation group was treated with anterolateral interbody fusion.The operation effect and incidence of complications were compared between the two groups.Results 2 weeks and 3 months after surgery,the ODI,Cobb angle and VAS scores of the two groups were lower than those before surgery,and the ODI,Cobb angle and VAS scores of the observation group was lower than those of the control group(P<0.05).The incidence of complications in the observation group was 5.00%,lower than 20.00%in the control group(P<0.05).Conclusions Anterolateral interbody fusion has significant effect in the treatment of DLS patients,which can significantly reduce the ODI and pain degree,with better correction effect on coronary position and fewer complications.

关 键 词：侧前方椎体间融合术 传统后路截骨矫形减压融合内固定术 退行性腰椎侧凸 手术效果 并发症 

分 类 号：R687.3[医药卫生—骨科学]