许朝君;镐英杰;于磊;朱广铎;任志楠;蔡迎春;彭诚;张盼可;朱剑;曹书严;

• 1:郑州大学第一附属医院骨科

摘要(Abstract)：

[目的]探讨斜外腰椎间融合术治疗退变性腰椎侧凸的临床疗效。[方法]回顾性分析本院2016年1月～2018年5月手术治疗53例退变性腰椎侧凸患者,其中,28例行斜外侧椎间融合术(OLIF组),25例行后路椎间融合术(PLIF组)。比较两组围手术期、随访与影像资料。[结果] OLIF组的手术时间、术中出血量、切口长度、住院时间显著优于PLIF组(P<0.05)。两组患者随访(24.38±5.58)个月,随时间推移,两组患者VAS和ODI评分均显著改善(P<0.05),术后3个月OLIF组的VAS和ODI评分显著优于PLIF组(P<0.05),但末次随访两组间差异无统计学意义(P>0.05)。末次随访时,两组腰椎侧凸Cobb角、SVA、CVA、椎间隙高度、椎间孔高度和椎间孔面积较均术前明显改善(P<0.05),OLIF组的椎间隙高度、椎间孔高度和椎间孔面积显著优于PLIF组(P<0.05)。[结论]斜外侧椎间融合术是治疗成人退变性腰椎侧凸微创手术,早期效果满意。

关键词(KeyWords)： 退变性腰椎侧凸;微创手术;斜外腰椎间融合术;后侧腰椎间融合术

Abstract:

Keywords:

基金项目(Foundation): 河南省教育厅高等学校重点科研项目(编号：201303039)

作者(Author): 许朝君;镐英杰;于磊;朱广铎;任志楠;蔡迎春;彭诚;张盼可;朱剑;曹书严;

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参考文献(References)：

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