文献类型：期刊文献

中文题名：后路椎弓根钉棒固定治疗退变性脊柱侧弯的临床疗效

英文题名：The clinical efficacy of degenerative scoliosis treatment via posterior pedicle screw fixation

作者：关永林[1];赵学权[2];王振东[2];马斌祥[1];孙乐伟[1]

第一作者：关永林

机构：[1]甘肃省中医院脊柱骨三科;[2]甘肃中医药大学中医临床学院

第一机构：甘肃省中医院脊柱骨三科

年份：2016

卷号：19

期号：3

起止页码：287

中文期刊名：临床骨科杂志

外文期刊名：Journal of Clinical Orthopaedics

收录：CSTPCD

语种：中文

中文关键词：退变性脊柱侧弯;后路手术;椎弓根螺钉

外文关键词：degenerative scoliosis;posterior surgery;pedicle screws

摘要：目的探讨后路椎弓根螺钉固定技术治疗退变性脊柱侧弯的临床效果。方法对20例退变性脊柱侧弯患者进行手术矫正,对Cobb角<20°的1例患者行椎管减压、椎体融合、短节段椎弓根钉棒系统固定术;对Cobb角>20°的19例患者行椎管减压、椎体融合、长节段椎弓根钉棒系统固定并植骨融合术。结果患者均获得6个月的随访。未出现术后感染及断钉、断棒等情况。Cobb角、腰椎前凸角和胸腰段后凸角:术后均较术前明显改善(P<0.05),术后6个月均较术后进一步改善(P<0.05)。JOA评分及ODI评分:术后均较术前明显改善(P<0.05),术后6个月均较术后进一步改善(P<0.05)。结论椎管减压是减轻患者疼痛的前提,在此基础上行后路椎弓根钉棒系统固定术能重建脊柱的稳定性,改善患者生活质量。
Objective To explore the clinical effects of posterior pedicle screw fixation technique in the treatment of degenerative scoliosis Methods The corrective surgery effects of 20 patients with degenerative scoliosis were ob-served.For 1 patient whose Cobb angle 〈20°, the surgery of spinal decompression , spinal fusion, and short pedicle screw system fixation was carried out;for the other 19 patients whose Cobb angle 〉20°,the surgery of spinal decom-pression, spinal fusion, long pedicle screw system fixation and bone grafting were carried out .Results All patients were followed up for 6 months, and there were not patients with postoperative infection , broken screws or broken rods and so on.All the patients′angle of thoracic lumbar segment′s kyphosis and lumbar lordosis and Cobb angle meas-ured after surgery had shown significant improvement compared with the preoperative （P〈0.05）,the lumbar lordosis and Cobb angle measured at 6 months after surgery had shown significant improvement compared with the postopera -tive（P〈0.05）; JOA score and ODI had both been significantly improved compared with the preoperative （P〈0.05）,the JOA score and ODI measured at 6 months after surgery had both been significantly improved compared with the postoperative（P〈0.05）.Conclusions On the basis of spinal decompression , which is the premise of re-ducing the pain, carrying out the surgery of posterior pedicle screw system fixation can reconstruct spine′s stability, and improve patients′life quality.