后路双侧置钉系统治疗青少年脊柱侧凸60例分析

发布时间：2018-03-07 11:39

本文选题：后路　切入点：双侧置钉系统　出处：《中国矫形外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：[目的]探讨后路选择性双侧交替置钉钉棒矫形内固定治疗青少年脊柱侧凸的临床疗效。[方法]选择本院2012年1月~2014年12月收治的60例青少年脊柱侧凸患者,临床均给予后路选择性双侧交替置钉钉棒矫形内固定术治疗。术后随访1~2年,观察患者术前、术后脊柱Cobb角变化(矢状面胸椎后凸Cobb角、胸腰段前凸Cobb角和腰椎前凸Cobb角)和脊柱变化(顶椎旋转度、躯干位移和身高)、健康评分(SF-36)变化、脊柱情况(SRS-22)。[结果]术后半年、1年时患者矢状面胸椎后凸Cobb角、胸腰段前凸Cobb角、腰椎前凸Cobb角较术前均显著改善(P0.05)。术后半年、1年时患者脊柱顶椎旋转度、躯干偏移度、身高变化较术前均显著改善(P0.05)。末次随访时SF-36各指标(生理功能、生理职能、躯体疼痛、总体健康、情感职能、生命活力、社会功能)较术前均显著改善(P0.05)。末次随访时患者SRS-22各指标(自我形象、功能活动、精神健康、疼痛程度)较术前均显著改善(P0.05)。[结论]后路选择性双侧交替置钉钉棒矫形内固定治疗青少年脊柱侧凸,能显著改善脊柱畸形,恢复脊柱正常的生理弯曲,提高生活质量。
[Abstract]:[objective] to investigate the clinical effect of posterior selective bilateral alternative screw fixation for adolescent scoliosis. [methods] 60 cases of adolescent scoliosis from January 2012 to December 2014 were selected. The patients were followed up for 1 ~ 2 years to observe the changes of Cobb angle (Cobb angle of sagittal thoracic kyphosis). Cobb angle of thoracolumbar kyphosis and Cobb angle of lumbar kyphosis) and the changes of spine (apex rotation, trunk displacement and height, health score SF-36), and the condition of the spine were observed. [results] six months after operation, one year after operation, the patients had sagittal thoracic kyphosis Cobb angle. The Cobb angle of thoracolumbar kyphosis and the Cobb angle of lumbar kyphosis were significantly improved compared with those before operation (P 0.05). The rotation degree, trunk deviation, height change of spine apex vertebra, trunk deviation and height of the patients were significantly improved compared with those before operation at 6 months and 1 year after operation. All indexes (physiological function) of SF-36 were significantly improved at the last follow-up. Physiological function, physical pain, general health, emotional function, life vigor, social function) were significantly improved compared with those before operation (P 0.05). At the last follow-up, the SRS-22 indexes (self-image, functional activity, mental health) were significantly improved. The degree of pain) was significantly improved compared with that before operation. [conclusion] the treatment of adolescent scoliosis with selective bilateral alternative screw and rod orthopedic fixation can significantly improve the deformity of the spine, restore the normal physiological curvature of the spine and improve the quality of life.
【作者单位】：聊城市中医医院骨科;
【分类号】：R726.8

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