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后路椎弓根螺钉置入修复退行性腰椎侧凸性椎管狭窄:矫正率及Cobb角恢复状态 被引量:6

Posterior pedicle screw system in repair of degenerative lumbar scoliosis with stenosis: correction rate and Cobb angle recovery
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摘要 背景:腰椎退变导致腰椎侧凸性椎管狭窄患者单纯椎管减压难以获得长期疗效,因为单纯减压被视为一种医源性的腰椎失稳,从而加重腰椎畸形,选用腰椎后路椎弓根螺钉固定,结合减压植骨融合治疗此类患者取得了良好的疗效。目的:评价采用后路椎弓根螺钉系统后路减压、内固定、植骨融合治疗退行性腰椎侧凸性椎管狭窄的临床疗效。方法:对2009年2月至2012年11月手术治疗的18例退行性腰椎侧凸性椎管狭窄患者进行回顾性分析,其中男6例,女12例,年龄48-80岁,平均62.2岁,腰椎侧凸Cobb角平均为28.6°,均采用后路减压、固定、植骨融合治疗。结果与结论:18例均得到满意随访,平均随访时间为22个月。所有患者均对治疗效果满意,生活质量提高,植入后平均矫正角度为13.7°(6.0°-28.4°),无内固定失败及感染病例。提示腰椎后路减压、内固定、植骨融合是治疗退行性腰椎侧凸性椎管狭窄的有效方法之一。 BACKGROUND:Simple spinal decompression for lumbar degeneration-induced lumbar scoliosis spinal stenosis is difficult to obtain long-term efficacy. Because simple decompression is considered an iatrogenic lumbar instability, and can aggravate lumbar deformity. Posterior lumbar pedicle screw fixation combined with decompression and fusion obtained good curative effects in patients. 〈br〉 OBJECTIVE:To investigate the clinical efficacy of posterior decompression, internal fixation, and bone graft fusion with posterior pedicle screw system in the treatment of degenerative lumbar scoliosis with stenosis. 〈br〉 METHODA retrospective analysis was performed in 18 patients with degenerative lumbar scoliosis with stenosis who received surgical treatment from February 2009 to November 2012. These patients consisted of 6 males and 12 females, with a mean age of 62.2 years (range, 48-80 years). They had lumbar scoliosis with a mean Cobb angle of 28.6° and underwent posterior decompression, internal fixation, and bone graft fusion. 〈br〉 RESULTS AND CONCLUSION:Al the 18 patients achieved satisfactory fol ow-up. The mean fol ow-up was 22 months. Al patients were satisfied with treatment outcomes and had improved quality of life. The mean correction angle was 13.7° (range, 6.0°-28.4°) after operation. There was no failure of internal fixation, and no infected cases were found. These data inducated that posterior decompression, internal fixation, and bone graft fusion is one of the effective methods for treating degenerative lumbar scoliosis with stenosis.
出处 《中国组织工程研究》 CAS CSCD 2014年第40期6471-6475,共5页 Chinese Journal of Tissue Engineering Research
关键词 植入物 脊柱植入物 退行性腰椎侧凸 椎管狭窄 后路减压 椎弓根螺钉 植骨融合 内固定 scoliosis spinal stenosis decompression,surgical internal fixators
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参考文献13

  • 1Akbamia BA, Ogilvie JW, Hammerberg KW. Debate: degenerative scoliosis: to operate or not to operate. Spine (Phila Pa 1976). 2006;:1 (19 Suppl):S195-201.
  • 2Gupta MC. Degenerative scoliosis. Options for surgical management. Orthop :lin North Am. 2003;34(2):269-279.
  • 3Aebi M. The adult scolipsis. Eur Spine J. 2005;14(10): 925-948.
  • 4刘海鹰,周殿阁,王会民,易斌,王波,金朝晖,张健,吕厚山.经后路椎弓根内固定和椎间融合治疗退变性脊柱侧弯[J].北京大学学报(医学版),2003,35(2):163-165. 被引量:8
  • 5张强,肖子范,张佐伦,张进禄.成人退行性腰椎侧凸症[J].中国矫形外科杂志,1994,1(4):210-212. 被引量:3
  • 6Daffner SD Vaccaro ,AR. Adult degenerative lumbar scoliosis. Am J Orthop (Belle M:d N J). 2003;32(2):77-82.
  • 7刘海鹰,周殿阁,王会民,易斌,王波,金朝晖,张健.退变性脊柱侧弯的外科治疗[J].中华外科杂志,2003,41(1):33-36. 被引量:17
  • 8Tribus CB. DegeneratiVe lumbar scoliosis: evaluation and management. J Am Acid Orthop Surg. 2003;11(3):174-183.
  • 9胡有谷,党耕町,唐天驷.脊柱外科学[M].2版.北京:人民卫生出版社,2000:82-83.
  • 10Liu H, Ishihara H, Kanaori M, et al. Characteristics of nerve root compression caused by degenerative lumbar spinal stenosis with scoliosis. ine J. 2003;3(6):524-529.

二级参考文献15

  • 1陈富强,黄淦堂,沈珊安,王方.椎弓根螺钉内固定及单侧后路植骨融合术治疗腰椎滑脱症[J].中国骨与关节损伤杂志,2005,20(8):529-530. 被引量:10
  • 2王晖,吴小涛,熊传芝,马超,陈明,黄建华,吴继彬,王兆红.后路椎弓根内固定椎体间融合术治疗腰椎滑脱症[J].解剖与临床,2007,12(1):35-36. 被引量:11
  • 3[1]Dick W, Widmer H. Degenerative lumbar scoliosis and spinal stenosis[J]. Orthopade, 1993, 22: 232-242
  • 4[2]Markwalder TM. Surgical management of neurogenic claudication in 100 patients with lumbar spinal stenosis due to degenerative spondylolisthesis[J]. Acta Neurochir Wien, 1993, 120:136-142
  • 5[3]Frazier D, Lipson S, Fossel A, et al. Associations between spinal deformity and outcomes after decompression for spinal stenosis[J]. Spine, 1997, 22: 2025-2029
  • 6[4]Katz JN, Lipson SJ, Lew RA. Lumbar laminectomy alone or with instrumented or noninstrumented arthrodesis in degenerative lumbar spinal stenosis: patient selection, costs, and surgical outcomes[J]. Spine, 1997, 22: 1123-1131
  • 7Cho KJ.Arthrodesis to L5 versus S1 inlong instrumentation and fusion for degenerative lumbarscoliosis.Eur Spine J,2009,18(4) :531-537.
  • 8Gibson JN,Waddel/ G.Surgery for degenerative lumbarspondylosis: updated eoehrane review.Spine, 2005,30:2312.
  • 9Dick W, Widmer H.Degenerative lumbar scoliosis and spinal stenosis. Orhtopade, 1993, 22: 232-242.
  • 10Markwalder TM.Surgical management of neurogenic claudication in 100 patients with lumbar spinal stenosis due to degenerative spondylolisthesis. Acta Neurochir Wien, 1993, 120:136-142.

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