摘要
[目的]回顾性分析后路广泛松解全椎弓根螺钉矫形治疗成人特发性胸腰椎/腰椎侧凸的疗效。[方法]2005年1月-2008年6月,通过后路广泛松解全椎弓根螺钉矫形治疗成人特发性胸腰椎/腰椎侧凸患者,27例获得随访。术前冠状面主凸Cobb角为48.6°（42°-63°）,侧凸平均柔韧度34.2%。术后平均随访27.4个月（24-36个月）,通过影像学检查对手术矫形效果和躯干平衡情况进行分析,末次随访时进行患者主观疗效评价。[结果]所有患者术后外观明显改善。冠状面主凸平均Cobb角矫正率为62.1%。末次随访冠状面Cobb角平均丢失2.3°。冠状面平衡由术前平均26 mm矫正为术后平均8 mm。腰椎前凸Cobb角由术前平均36.7°增加为39.6°。[结论]后路广泛松解全椎弓根螺钉矫形治疗成人特发性胸腰椎/腰椎侧凸可以获得良好的冠状面和矢状面矫形,重建躯干的平衡,主客观疗效满意。
[Objective]To evaluate the efficacy of wide posterior release and all pedicle screw technique in the treatment of adult idiopathic thoracolumbar/lumbar scoliosis.[Method]Twenty-seven adult idiopathic thoracolumbar/lumbar scoliosis patients were surgically treated by wide posterior release and all pedicle screws fixation from January 2005 to June 2008.Preoperative mean Cobb angle of major curve on coronal plane was 48.6°（42-63°）,and the mean correction rate of side bending film was 34.2%.Mean followed-up period was 27.4 months（24-36 months）.Preoperative and postoperative Cobb angles of coronal plane and sagittal plane and trunk balance were analyzed.The subjective efficacy was assessed by questionnaire.[Result]Clinical appearance of all patients improved significantly.Mean correction of major curve of the coronal plane was 62.1%.Mean loss of correction on coronal plane at the last follow-up was 2.3°,and coronal trunk balance was corrected from 26 mm to 8 mm.Preoperative mean Cobb angle of lumbar lordosis increased from 36.7° to 39.6°.[Conclusion]Radiological assessment and patients′ self-evaluation showed that wide posterior release and all pedicle screw technique could gain good coronal and sagittal correction and trunk balance for adult idiopathic thoracolumbar/lumbar scoliosis.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2010年第20期1697-1700,共4页
Orthopedic Journal of China
