Degenerative lumbar scoliosis surgical treatment of spinal stenosis.docVIP

 PAGE \* MERGEFORMAT 22 Degenerative lumbar scoliosis surgical treatment of spinal stenosis On: Sun Zhenhui, Du Wenjun, Zhang Xueli, Jianghan, Wang Pei [Abstract] [Objective] To investigate spinal stenosis degenerative lumbar scoliosis and effect of surgical options. [Method] From June 2003 ~ January 2007 hospital surgical treatment of degenerative lumbar spinal stenosis in patients with scoliosis 32 patients underwent preoperative X ray, CT, MRI examination, 10 patients with prior spinal imaging, image input into the computer and using IPP software to calculate Cobb’s angle, vertebral rotation, lateral degree of displacement, 32 patients underwent posterior reduction pressure fusion pedicle screw fixation. recorded operation time, blood volume, fluoroscopy time, followed up lumbar spinal fusion, deformity correction, pain relief situation, while using VAS, LBOS score of patients before and after surgery for efficacy analysis. [Results] The mean operative time was 32 cases (4 + -0.5 h, hemorrhage (400 + -30 ml, fluoroscopy time (30 + -5 min.32 patients were followed for a period of 8 months to 4 years (average 20 months, After 8 months, 16 months, X-ray review, 24 patients were bone fusion (75%, the average final follow up Cobb’s angle of scoliosis decreased from 37.2 ° to 18.4 °, 23.7% correct rate, the average angle of protrusion increased from 13.1 ° preoperatively 16.4 °, 25.1% growth rate, the average apical vertebral rotation decreased from 14.2 ° to 9.8 °, 31.0% correct rate, before and after surgery lumbar scoliosis, the former process angles were significant differences (t test , P lt;0.05. preoperative mean VAS and LBOS -2.1,21.8 + -11.6 5.8 +, the final follow up were increased to 3.1 + -1.9,44.8 + -15.1,32 surgery patients satisfaction: excellent in 18 cases, good in 8 cases, 4 cases, poor in 2 cases, the fine rate was 81.2%. complication: failure of fusion of 8 cases of fracture fixation in 1 case, does not alleviate the symptoms in 2 cases,