手术治疗退变性脊柱侧凸的近期疗效分析

Efficacy of recent surgery treatment of degenerative scoliosis

目的探讨手术治疗退变形脊柱侧凸的临床效果。方法对2012年9月至2013年9月手术治疗的24例退变形脊柱侧凸患者均行后路减压、脊柱侧凸矫形，椎弓根采用螺钉内固定，对8例患者行椎间植骨融合及16例患者行后外侧植骨融合。结果术后患者脊柱侧凸平均矫正率为43．2％。术后7d神经根性疼痛、腰痛VAS评分缓解率为83．0％。腰腿疼痛、下肢麻木等症状均有减轻；随访1～2年，植骨融合良好、无假关节形成，融合器未发生移位，内固定未发现松动及折断。结论通过椎板减压、矫形、椎弓根螺钉固定及椎间融合是退变性脊柱侧凸有效的外科手术治疗方法。

Objective To investigate the clinical effects of surgical treatment of scoliosis deformation retreat. Methods A retrospective analysis of our hospital in September 2012 to September 2013 was conducteol among 24 cases of surgical treatment of scoliosis deformation withdrawal, patients under- went posterior decompression, seoliosis, using pediele screw fixation of the eight cases line lateral interbody fusion and fusion in patients after 16 cases of patients. Results The average correction of scoliosis patients was 43.2 %. No radicular pain at 7 days after radicalar, back pain VAS score remission rate was 83.0% ; leg pain, numbness and other symptoms are alleviate ; after follow-up of 1-2 years, fusion well, no pseudarthrosis, no fusion shifting occurred, fixation was not found loose and broken. Conclusions By laminectomy, orthopedic, pediele screw fixation and interbody fusion is back scoliosis effective method of surgical treatment of spinal degeneration.