全节段经椎弓根螺纹钉固定融合术治疗老年脊柱侧凸性腰椎管狭窄症的疗效观察.doc

《全节段经椎弓根螺纹钉固定融合术治疗老年脊柱侧凸性腰椎管狭窄症的疗效观察.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、全节段经椎弓根螺纹钉固定融合术治疗老年脊柱侧凸性腰椎管狭窄症的疗效观察［摘要］目的探讨全节段经椎弓根螺纹钉固定融合术在老年脊柱侧凸性腰椎管狭窄症患者屮的应用效果。方法收集我院2012年5月〜2014年1月入院的60例脊柱侧凸性腰椎管狭窄症老年患者并随机分为两组，对照组予常规腰椎减压+植骨融合内固定术治疗，实验组采用常规腰椎减压+全节段经椎弓根螺纹钉固定融合术治疗，比较两组患者治疗前后腰部疼痛与下肢功能、总体治疗效果与并发症等。结果实验组患者治疗后JOA评分(12.05±2.51)分，组间比较显著高于対照组(10.21±2,07)分，实验组0DI指数(20.17±5.35)显著低于对照组(24.

2、26±5.06)；实验组整体治疗效果明显优于对照组，实验组总体并发症发生率(16.67%)明显低于对照组(40.00%),差异具有统计学意义(P〈0・05)。结论全节段经椎弓根螺纹钉固定融合术在脊柱侧凸性腰椎管狭窄症老年患者中的应用效果显著。［关键词］脊柱侧凸；腰椎管狭窄；全节段经椎弓根螺纹钉固定融合;并发症［中图分类号］R687.3［文献标识码］B［文章编号］1673-9701(2016)17-0064-03Observationofpediclescrewfixationandinterbodyfusionintreatmentofsenilescoliosisoflumbarspinal

3、stenosisZHANGLudongYIZhijianDepartmentofOrthopedic,thePeople'sLiberationArmy148Hospital,Zibo255300,China[Abstract]ObjectiveToinvestigatetheeffectofsegmentalpediclescrewfixationandfusionapplicationintreatmentofelderlypatientswithlumbarspinalstenosisofthescoliosis・MethodsFromMay2012toJanuary2014,60cas

4、eswithlumbarspinalstenosisofthescoliosisinourhospitalwererandomlydividedintotwogroups,controlgroupofpatientsweretreatedwithconventionallumbardecompressionandfusionandinternalfixation,theexperimentalgroupofpatientsweretreatedwithconventional1umbardecompressionsegmentalpediclescrewfixationandfusiontre

5、atment,thebackpainandlowerlimbfunctionbeforeandaftertreatment,theoveralltreatmenteffectandothercomplicationsofthetwogroupswerecompared・ResultsTheJOAscoreinexperimentalgroupwas(12.05+2.51),higherthan(10.21+2.07)incontrolgroup,ODTindexinexperimentalgroupwas(20.17土5.35),wassignificantlylowerthanthecont

6、rolgroup(24.26±5.06)；theoveralltreatmenteffectinexperimentalgroupwasbetterthanthecontrolgroup:theoverallcomplicationrate(16.67%)inexperimentalgroupwassignifiedntlylowerthanthecontrolgroup(40.00%)(P<0.05)・ConclusionSegmentaipediclepatientswithscoliosisoftheapplicationresultsareobvious.[Keywords]Scoli

7、osis；Spinalstenosis；Segmentalpediclescrewfixationandfusion；Compliedtion脊柱侧凸性腰椎管狭窄症（SSS）泛指在脊柱以双肩不等高为特点的三维畸形的基础上合并的椎管径线缩短，使硬膜囊与神经根等部位受压而产生的腰腿疼痛与神经功能综合征,是老年骨科常见病,在临床上颇受重视[1,2]。针对该病的治疗，临床上则首选手术方案，但术式的选择一直