选择性下腰椎椎间减压固定植骨融合治疗退变性腰椎侧凸后邻椎病发生的疗效

发布时间：2019-08-08 14:51

【摘要】：目的:探讨椎弓根螺钉固定与选择性下腰椎椎间减压融合治疗退变性腰椎侧凸的临床疗效。方法:回顾分析退变性腰椎侧凸患者椎弓根螺钉固定与选择性下腰椎椎间减压融合术治疗122例,A组固定融合在L_5节段,B组固定融合在S_1节段,节段影像学分析及Suk标准评价固定、减压、植骨融合情况,JOA评分评价疗效。结果:两组患者手术时间、术中出血量、术后引流量差异均无显著性(P0.05);122例均获得平均(16.2±0.8)个月随访;术后冠状面和矢状面Cobb′s角、侧凸矫正率和前凸矫正率均获得明显改善,B组的前凸矫正率优于A组(P0.05);两组椎间融合率、JOA腰背痛评分及末次随访时患者的疗效优良率比较差异无显著性(P0.05);术后无感染、螺钉断裂等不良事件;术后邻椎病发生率A组高于B组(P0.05)。结论:椎弓根螺钉固定与选择性椎间减压融合治疗下腰椎退变性脊柱侧凸,中短期临床效果满意。
[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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