侧入路椎体间融合治疗轻中度成人退行性脊柱侧凸的疗效

发布时间：2018-07-06 12:41

本文选题：脊柱侧凸 + 侧入路椎体间融合　；参考：《吉林大学》2017年硕士论文

【摘要】：研究背景:随着手术技术的精进及微创手术的发展,关于侧入路椎体间融合术治疗成人脊柱侧弯的研究越来越多。然而大部分研究中都将成人退行性脊柱侧凸与特发性脊柱侧凸同时纳入,使得到的结论存在间接性,影响其临床实用性。目的:评价侧入路椎间融合术治疗成人退行性脊柱侧凸的疗效,并探讨其是否用于治疗此疾病。方法:回顾性分析患者的病历记录,并对其术前术后的冠状面及矢状面等影像学指标,VAS和ODI等临床指标及术后并发症进行分析。结果:本研究共纳入26名经LLIF治疗的ADS患者,和术前相比,患者的冠状面畸形得到明显矫正,然而矢状面上的畸形没有明显的好转;VAS和ODI两项指标在最后一次随访中较术前有明显提升。所有术后发生的神经性并发症均于6个月内缓解。结论:侧入路椎体间融合术适合治疗成人退行性脊柱侧凸,但术中应使用神经监护,并联合内固定技术。
[Abstract]:Background: with the development of surgical techniques and minimally invasive surgery, more and more researches have been made on the treatment of adult scoliosis by lateral approach interbody fusion. However, most of the studies include adult degenerative scoliosis and idiopathic scoliosis at the same time. Objective: to evaluate the efficacy of lateral intervertebral fusion in the treatment of adult degenerative scoliosis. Methods: the medical records of the patients were analyzed retrospectively, and the coronal and sagittal imaging indexes, such as VAS and ODI, and postoperative complications were analyzed. Results: a total of 26 patients with ads treated with LLIF were included in this study. The coronal deformities were significantly corrected compared with those before LLIF. However, the sagittal deformity did not improve significantly. VAS and ODI were significantly improved during the last follow-up. All postoperative neurological complications were alleviated within 6 months. Conclusion: interbody fusion via lateral approach is suitable for the treatment of adult degenerative scoliosis, but nerve monitoring and internal fixation should be used in the operation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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