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1、老年退变性腰椎侧凸合并腰椎管狭窄的手术疗效卢旻鹏1，董靖2，邵高海1，李波1，余雨1，王群波1，焦春燕1（402160重庆，重庆医科大学附属永川医院：骨科1,内分泌科2）[摘要]目的探讨手术治疗老年退变性腰椎侧凸合并腰椎管狭窄的临床疗效。方法回顾性分析本院从2004年1月至2008年1月收治的退变性腰椎侧凸合并腰椎管狭窄患者37例，包括男性15例，女性22例，年龄（57.6±5.8）岁，比较患者手术前后及末次随访时的Cobb角、ODI功能评分。结果本组病例都获得了临床随访，随访时间（18.5±5.5）个月，患者术后临床症状明显改善，自诉
2、生活质量明显提高；术前ODI功能评分（59.6±12.5）分，术后（34.6±8.6）分，差异有统计学意义(P<0.05)，末次随访时评分（36.3±6.8）分，与术前比较差异有统计学意义（P<0.05)；Cobb角由术前（25.3±5.7）°矫正至术后（11.4±6.3）°，改善率平均为84.5％；骨融合率达到100％，无椎间融合器移位、椎间隙塌陷、断钉断棒等发生。结论后路减压结合椎弓根螺钉固定融合矫形术是治疗退变性腰椎侧凸合并腰椎管狭窄的有效方法之一。[关键词]退行性腰椎侧凸；短节段；固定；融合[中图法分类号][文献标志码]A[通信
3、作者]邵高海，E-mail:shaogaohai567@163.comSurgicaltreatmentofdegenerativelumbarscoliosisassoiatedwithspinalstenosisofoldpatientsLuMinpeng,DongJing,ShaoGaohai,LiBo,YuYu,WangQunbo,JiaoChunyan（DepartmentofOrthopedics,YongchuanHospital,ChongqingMedicalUniversity,Chongqing，402160,Ch
4、ina）[Abstract]ObjectiveToinvestigateclinicalresultsofdegenerativelumbarscoliosisassoiatedwithspinalstenosisofoldpatients.MethodsFromJanuary2004toJanuary2008,37caseswithdegeneratedscoliosisweretreatedwithposteriorlongsegmentfixedandshort-segmentfusiontechnology.Therewere1
5、5malesand22females,withtheaverageageof(57.6±5.8)years.TheclinicaloutcomeswereevaluatedbyCobbangleofcurvesandOswestryDisabilityIndex（ODI）ofpreoperative、postoperativeandtimeofthefinalfollow-up.ResultsAllcaseswerefollow-up,themeanfollow-upperiodwas(18.5±5.5)months.87.8%ofth
6、epatientswhounderwentthesymptomsandsignsimproved.TheaverageODIscorewas(59.6±12.5)pointsattheinitialexaminationand(34.6±8.6)and(36.3±6.8)pointsatpostoperative(P<0.05)andthefinalfollow-uprespectively(P<0.05).TheaverageCobb'sanglewaspreoperative(25.3°±5.7°)andpostoperative(
7、11.4°±6.3°)withameancorrectionrateof84.5％.Bonefusionratereached100%.Therewerenorelevantcomplicationssuchasvertebrafusionshift,thedischeightthecollapse,screwbreakagebrokenhappened.ConclusionPosteriorlongsegmentfixedandshort-segmentfusionwasoneoftheeffectivewaysoftreatment
8、todegenerativelumbarscoliosis.[Keyword]degenerativelumbarscoliosis;longsegment;short-segment;fixed;fusi
