發(fā)布時(shí)間：2019-08-08 14:51

【摘要】：目的:探討椎弓根螺釘固定與選擇性下腰椎椎間減壓融合治療退變性腰椎側(cè)凸的臨床療效。方法:回顧分析退變性腰椎側(cè)凸患者椎弓根螺釘固定與選擇性下腰椎椎間減壓融合術(shù)治療122例,A組固定融合在L_5節(jié)段,B組固定融合在S_1節(jié)段,節(jié)段影像學(xué)分析及Suk標(biāo)準(zhǔn)評(píng)價(jià)固定、減壓、植骨融合情況,JOA評(píng)分評(píng)價(jià)療效。結(jié)果:兩組患者手術(shù)時(shí)間、術(shù)中出血量、術(shù)后引流量差異均無(wú)顯著性(P0.05);122例均獲得平均(16.2±0.8)個(gè)月隨訪(fǎng);術(shù)后冠狀面和矢狀面Cobb′s角、側(cè)凸矯正率和前凸矯正率均獲得明顯改善,B組的前凸矯正率優(yōu)于A組(P0.05);兩組椎間融合率、JOA腰背痛評(píng)分及末次隨訪(fǎng)時(shí)患者的療效優(yōu)良率比較差異無(wú)顯著性(P0.05);術(shù)后無(wú)感染、螺釘斷裂等不良事件;術(shù)后鄰椎病發(fā)生率A組高于B組(P0.05)。結(jié)論:椎弓根螺釘固定與選擇性椎間減壓融合治療下腰椎退變性脊柱側(cè)凸,中短期臨床效果滿(mǎn)意。
[Abstract]:Objective: to investigate the clinical effect of pedicle screw fixation and selective lumbar interbody decompression fusion in the treatment of degenerative lumbar scoliosis. Methods: 122 patients with degenerative lumbar scoliosis were treated with pedicle screw fixation and selective lumbar interbody decompression and fusion. Group A was fixed and fusion was in L 鈮，

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