退变性腰椎侧凸选择性短节段固定融合的手术治疗

目的探讨选择性减压、短节段固定融合治疗退变性腰椎侧凸的手术疗效。方法回顾性研究2004年1月～2007年6月收治的42例以下肢症状为主的退变性腰椎侧凸患者,其中男15例,女27例;平均年龄为65.6岁。手术方式采用选择性减压、短节段固定融合。对患者术前、首次随访、终末随访时的Cobb角,腰椎前凸角度,VAS评分和Oswestry功能障碍指数进行对比。结果术前与终末随访VAS评分和Oswestry功能障碍指数对比,差异有统计学意义,手术优良率为76.2%,术后早期并发症的发生率为23.9%。结论以下肢症状为主的退变性腰椎侧凸患者可通过狭窄节段椎管减压、短节段固定融合显著地减小手术创伤,获得良好的手术疗效。

Selective decompression and short segmental fusion of degenerative lumbar scoliosis

Objective To analyze the surgical results of selective decompression and short segmental fusion for degenerative lumbar scoliosis.Methods All the 42 patients without prior spinal diseases who suffered with degenerative lumbar scoliosis were treated surgically from January 2004 to June 2007,15 males and 27 females were included,with the mean age of 65.6 years old. Selective decompression and short segmental fusion with pedicle screws were performed. Cobb's angles,lumbar lordotic angles,visual analog pain sca...