后路椎管减压融合内固定术治疗退变性腰椎侧凸疗效与评价Posterior decompression,instrumentation and fusion for degenerative lumbar scoliosis:measurement and clinical results
曹洪海;张永刚;王征;张雪松;崔赓;王岩;
摘要(Abstract):
[目的]用VAS、JOA和SRS-22评分评价退变性腰椎侧凸后路椎管减压融合内固定术的临床疗效。[方法]回顾分析2002年7月~2007年1月后路椎管减压内固定术治疗的32例Cobb角均<25°的退变性腰椎侧凸患者。术前术后和随访时均行VAS、JOA评分描述患者症状并分析患者影像学检查结果。术后随访时对患者行SRS-22国际标准量表评分主观评价患者情况,采用SPSS 10.0统计分析软件对数据进行统计分析。[结果]全部32例患者术前Cobb角和腰椎前凸角在术后均得到了一定程度的改善;术前与术后JOA和VAS评分指标均存在显著性差异;SRS-22评分结果尚可接受。[结论]在充分减压的前提下,后路椎管减压融合内固定术对轻度退变性腰椎侧凸可达到满意的临床疗效。VAS、JOA和SRS-22评分作为脊柱外科普遍采用的痛觉评分标准,用于评价退变性腰椎侧凸患者的主观症状,可操作性强,易于被患者接受,有一定的可行性和实用性。
关键词(KeyWords): 退变性脊柱侧凸;腰椎;后路;脊柱融合;内固定;全椎弓根螺钉
基金项目(Foundation):
作者(Author): 曹洪海;张永刚;王征;张雪松;崔赓;王岩;
Email:
DOI:
参考文献(References):
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