老年退变性腰椎侧凸合并腰椎管狭窄症的手术疗效.docVIP

作者简介：卢旻鹏（1978.10－ ）医学博士，主治医师 研究方向：脊柱外科 通信作者：邵高海，副教授，副主任医师，硕士研究生导师 研究方向：脊柱外科老年退变性腰椎侧凸 作者简介：卢旻鹏（1978.10－ ）医学博士，主治医师 研究方向：脊柱外科 通信作者：邵高海，副教授，副主任医师，硕士研究生导师 研究方向：脊柱外科 卢旻鹏1 董靖2 邵高海1 李波1 余雨1 王群波1 焦春燕1 （1. 重庆医科大学附属永川医院骨科；2. 重庆医科大学附属永川医院内分泌科；重庆 402160） 【摘 要】 目的 探讨手术治疗老年退变性腰椎侧凸合并腰椎管狭窄症的临床疗效。方法 回顾性分析本院从2004年1月～2008年1月收治的退变性腰椎侧凸合并腰椎管狭窄症患者37例。其中男性15例，女性22例，平均年龄为57.6±5.8岁，比较患者手术前、后及末次随访时的Cobb角、ODI 功能评分。结果 全部病例都获得了临床随访，平均随访时间18.5±5.5月，的患者术后临床症状得到了明显改善，自诉生活质量明显得到提高；术前ODI 功能评分平均59.6±12.5分，术后平均34.6±8.6分(与术前比较，P0.05)，末次随访时平均36.3±6.8分(与术前比较，P0.05)；Cobb角由术前平均25.3°±5.7°矫正至术后平均11.4°±6.3°，改善率平均为84.5％；骨融合率达到100％，无椎间融合器移位、椎间隙塌陷、断钉断棒等发生。结论 后路减压结合椎弓根螺钉固定融合矫形术是治疗退变性腰椎侧凸合并腰椎管狭窄症的有效方法之一。 【关键词】退行性腰椎侧凸；短节段；固定；融合 Surgical treatment of degenerative lumbar scoliosis assoiated with spinal stenosis of old patients. LU Min-peng, DONG Jing, SHAO Gao-hai, LI Bo, YU Yu, WANG Qun-bo,et al. Department of Orthopedics, Yongchuan Hospital, Chongqing Medical University, Chongqing 402160, China Corresponding author: SHAO Gao-hai,TelEmail: shaogaohai567@163.com 【Abstract】Objective To investigate clinical results of degenerative lumbar scoliosis assoiated with spinal stenosis of old patients. Methods From January 2004 to January 2008, 37 cases with degenerated scoliosis were treated with posterior long segment fixed and short-segment fusion technology. There were 15 males and 22 females, with the average age of (57.6±5.8) years. The clinical outcomes were evaluated by Cobb angle of curves and Oswestry Disability Index（ODI）of preoperative、postoperative and time of the final follow-up. Results All cases were follow-up, the mean follow-up period was (18.5±5.5) months. 87.8% of the patients who underwent thesymptoms and signs improved. The average ODI score was (59.6±12.5) points at the initial examination and (34.6±8.6) and (36.3±6.8) points at postoperative(P0.05) and the final follow-up respectively(P0.05). The average Cobbs angle was preoperative (25.3°±5.7°) and postoperative (11.4°±6.3°) with a