后路椎弓根钉棒系统治疗退变性脊柱侧弯的临床效果
[摘要] 目的 探讨后路椎弓根钉棒系统治疗退变性脊椎侧弯的临床效果。 方法 选取2010年4月～2013年12月来本院治疗的28例退变性脊柱侧弯患者，均采用后路椎弓根钉棒系统对椎间盘行摘除、椎间植骨融合内固定术，术后患者出院后进行随访观察。 结果 全部患者手术成功，无一例术后感染、断钉或者断棒等情况的发生。术前、术后腰椎前凸角度分别为（17.5±2.1）°、（24.3±3.2）°，术后5个月随访为（27.7±3.1）°；术前、术后Cobb角度分别为（38.4±1.9）°、（27.1±2.9）°，术后5个月随访为（26.3±2.1）°；患者术后生活质量得到明显改善（P<0.05）。患者JOA评分术前、术后分别为（11.3±1.1）分、（23.6±1.5）分；ODI评分术前、术后分别为（48.8±2.6）分、（24.5±1.8）分，术前、术后JOA评分及ODI评分比较，差异有统计学意义（P<0.05）。 结论 后路椎弓根钉棒系统治疗退变性脊柱侧弯具有显著的临床效果，大大减轻了患者的疼痛和不适感，缓解了患者的症状，建议临床推广应用。
[关键词] 后路椎弓根钉棒系统；退变性脊柱侧弯；椎间盘；临床疗效
[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-4721（2014）09（c）-0040-03
Clinical efficacy of posterior pedicle screw system for treatment of degenerative scoliosis
HUANG Hua-wei
Department of Orthopedics，People′s Hospital of Pingxiang City in Jiangxi Province，Pingxiang 337055，China
[Abstract] Objective To observe the clinical effect of posterior pedicle screw system in the treatment of degenerative scoliosis. Methods 28 cases of patients with degenerative scoliosis treated in our hospital from April 2010 to December 2013 were selected.The patients were received extirpation of intervertebral disk by using posterior pedicle screw system，and intervertebral fusion integrated with internal fixation.The patients were followed up after operation. Results The operation of all patients were successful，and there was no one case with infection，breaking nail or breaking rod after operation.The preoperative and postoperative lumbar lord...
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