| 周超,郑燕平*,殷军,夏海鹏,王延国.腰椎椎管狭窄并退行性脊柱侧凸的手术治疗[J].脊柱外科杂志,2022,20(2):73-77. |
腰椎椎管狭窄并退行性脊柱侧凸的手术治疗  点此下载全文 (Fulltext) |
| 周超 郑燕平* 殷军 夏海鹏 王延国 |
| 山东大学齐鲁医院脊柱外科, 青岛 266000 |
| 基金项目：青岛市医药卫生科研计划项目（2021-WJZD213） 青岛市民生科技计划项目（19-6-1-8-nsh） 山东大学齐鲁医院（青岛）院内基金（QDKY2019RX08） |
| DOI：10.3969/j.issn.1672-2957.2022.02.001 |
| 摘要点击次数: 908 |
| 全文下载次数: 329 |
| 摘要： |
| 目的 探讨短节段减压融合内固定术治疗腰椎椎管狭窄症（LSS）并退行性脊柱侧凸（DS）的临床疗效。方法 2013年12月—2018年6月，收治LSS并Lenke-SilvaⅡ~Ⅳ级DS患者26例，均采用经Wiltse入路手术治疗。观察手术前后腰椎侧凸Cobb角、腰椎前凸角（LL）、冠状面偏移（C7PL-CSVL）、矢状面偏移（C7PL-SVA）、骨盆倾斜角（PT）和骶骨倾斜角（SS）的变化。采用Oswestry功能障碍指数（ODI）、日本骨科学会（JOA）评分及疼痛视觉模拟量表（VAS）评分评估临床疗效。结果 所有手术顺利完成，所有患者术后随访（24.2±1.7）个月，侧凸矫正率为58%。末次随访时，所有患者C7PL-CSVL、C7PL-SVA、腰椎侧凸Cobb角、LL、PT和SS均较术前改善，差异有统计学意义（P<0.05）。末次随访时，ODI、JOA评分及VAS评分均较术前改善，差异有统计学意义（P<0.05），ODI改善优良率为96%，JOA评分改善优良率为92%。结论 短节段减压融合内固定术治疗LSS并Lenke-Silva Ⅱ~Ⅳ级DS可取得良好的临床疗效。 |
| 关键词：腰椎 椎管狭窄 脊柱侧凸 减压术，外科 内固定器 脊柱融合术 |
| Surgical treatment of lumbar spinal stenosis and degenerative scoliosis Fulltext |
| Zhou Chao Zheng Yanping* Yin Jun Xia Haipeng Wang Yanguo |
| Department of Spinal Surgery, Qilu Hospital of Shandong University, Qindao 266000, Shandong, China |
| Fund Project: |
| Abstract: |
| Objective To investigate the clinical effect of short segment decompression，fusion and internal fixation in the treatment of lumbar spinal stenosis（LSS） and degenerative scoliosis（DS）. Methods From December 2013 to June 2018，26 patients with LSS and Lenke-Silva gradeⅡ-Ⅳ DS were treated by Wiltse approach. The changes of lumbar scoliosis Cobb angle，lumbar lordosis（LL），distance between C7 plumb line and center sacral vertical line（C7PL-CSVL），distance between C7 plumb line and sagittal vertical axis（C7PL-SVA），pelvic tilt（PT） and sacral slope（SS） before and after operation were observed. The clinical efficacy was evaluated by Oswestry disability index（ODI），Japanese Orthopaedic Association（JOA） score and pain visual analogue scale（VAS） score. Results All the operations were successfully completed. All the patients were followed up for （24.2±1.7）months. The correction rate of scoliosis was 58%. At the final follow-up，C7PL-CSVL，C7PL-SVA， scoliosis Cobb angle，LL，PT and SS in all the patients were improved compared with those before operation，all with a statistical significance（P<0.05）. At the final follow-up，ODI，JOA score and VAS score were improved compared with those before operation，and the differences were statistically significant（P<0.05）. The excellent and good rate of ODI improvement was 96%，and the excellent and good rate of JOA score improvement was 92%. Conclusion Short segment decompression，fusion and internal fixation can achieve good clinical effect in the treatment of LSS and Lenke-Silva gradeⅡ-Ⅳ DS. |
| Keywords:Lumbar vertebrae Spinal stenosis Scoliosis Decompression,surgical Internal fixators Spinal fusion |
|
|
HTML
查看全文 查看/发表评论 下载PDF阅读器 |
