改良V形截骨矫正胸腰椎后凸的临床应用分析

Clinic effect analysis of improved V-shaped osteotomy to correct thoraco lumbar kyphosis

目的探讨改良V形截骨在矫正胸腰椎后凸的应用。方法选择因胸腰段后凸而行手术治疗的患者64例，将其分为传统组和改良组，传统手术组30例，男20例，女10例；年龄45～68岁。改良手术组34例，男22例，女12例：年龄53～65岁。分析两组矫正后凸Cobb角及术后并发症。结果改良组和传统组矫正后凸Cobb角无明显差异（P〉0．05），改良组术后胃肠道并发症较传统组发生率明显降低，差异有统计学意义（P〈0．05）。结论改良V形截骨术式可以矫正Cobb角〈80°的脊柱后凸畸形，明显降低胃肠道及血管事件等并发症的发生。

Objective To explore clinic effect analysis of improved V-shaped osteotomy to correct thoracolumbar kyphosis. Methods A total of 64 patients with thoracolumbar kyphosis were divided into two groups, traditional group and improved group, the traditional surgery group of 30 patients underwent the traditional V-shaped osteotomy, includ- ing 20 males and 10 females with an age range of 45 to 68 years. Improved surgery group of 34 patients underwent the improved V-shaped osteotomy, including 22 males and 12 females with an age range of 53 to 65 years. Perioperative complications and Cobb angle of kyphosis were compared between two groups. Results The improved group and traditional group in correction Cobb of kyphosis had no obvious difference （P〉0.05）, the incidence of postoperative gastrointestinal complications in improved group was obviously lower than traditional group with statistical difference （P〈0.05）. Conclusion The improved V-shaped osteotomy surgery can correct thoracolumbar kyphosis with cobb angle〈 80° and the gastrointestinal complications and vascular events can be significantly reduced.