后路经椎弓根椎体截骨术治疗胸腰椎后凸畸形被引量：3

Treatment of thoracolumbar kyphosis using posterior pedicle subtraction osteotomy

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摘要回顾性分析后路单节段经椎弓根椎体截骨术(PSO)治疗20例陈旧性胸腰椎骨折后凸畸形患者的临床疗效。比较术前、术后及末次随访时后凸Cobb角、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分。通过Frankel分级评分评价患者神经功能恢复情况。术后Cobb角、VAS评分和ODI评分分别与术前相比,差异均有统计学意义(P<0.05)。末次随访时临床症状和神经功能获得较大改善。后路单节段PSO治疗陈旧性胸腰椎骨折后凸畸形是一种安全、有效术式。 To retrostectively evaluate and analyze the clinical effect on posterior single-level pedicle subtraction osteotomy for treating post-traumatic thoracolumbar kyphosis of twenty patients.The kyphosis Cobb angle,visual analog scale （VAS） score and Oswestry disability index （ODI） score of post-operation and last follow-up were compared with that of preoperation.To evaluate clinical symptoms and neurological function by Frankel grade score.Postoperative Cobb angle,VAS score and ODI scores were significantly different compared with preoperative （P ＜0.05）.Clinical symptoms and neurological function ameliorated at last clinical examination.The posterior monolevel pedicle subtraction osteotomy for treatment of post-traumatic thoracolumbar kyphosis is a safe and effective procedure.

作者李路陈银河杨庆国申才良尤涛张银顺李伟王磊贾金龙

机构地区安徽医科大学第一附属医院骨三科

出处《安徽医科大学学报》 CAS 北大核心 2014年第8期1182-1184,共3页 Acta Universitatis Medicinalis Anhui

基金国家自然科学基金面上项目(编号:81171797)

关键词胸腰椎创伤性后凸畸形经椎弓根椎体截骨术 thoracolumbar post-traumatic kyphosis pedicle subtraction osteotomy

分类号 R683.2 [医药卫生—骨科学] R321.6 [医药卫生—人体解剖和组织胚胎学]

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