特发性脊柱侧弯行脊柱融合术及哈林顿器械固定术后的下腰痛
Low back pain after spinal fusion and Harrington instrumentation for idiopathic scoliosis.
作者信息
Niemeyer Thomas, Bövingloh Albert Schulze, Grieb Sarah, Schaefer Jürgen, Halm Henry, Kluba Torsten
机构信息
Spine Service, Department of Orthopedic Surgery, University Hospital Tübingen, Tubingen, Germany.
出版信息
Int Orthop. 2005 Feb;29(1):47-50. doi: 10.1007/s00264-004-0599-1. Epub 2004 Nov 4.
Abstract
We reviewed 41 patients with adolescent idiopathic scoliosis treated with spinal fusion and Harrington instrumentation between 1973 and 1992. The mean follow-up was 23 (11-30) years. All patients completed self-administered questionnaires, Oswestry Low Back Pain Disability Score (ODS), Roland Morris score (RLS), and Visual Analog Pain Intensity Scale (VAS). We found a high degree of satisfaction with more than three quarters of the patients in work. The outcome of ODS, RLS, and VAS showed low scores. We found a significant correlation between the scores and the Cobb angle preoperatively as well as at follow-up. The patient-oriented outcome did not correlate with the type of curve, extension of vertebral fusion, tilt angle of the lowest instrumented vertebra, postoperative Cobb angle, loss of correction, or lumbar lordosis. This long-term follow-up of Harrington rod fusion for adolescent idiopathic scoliosis showed no important impairment of health-related quality of life.
摘要
我们回顾了1973年至1992年间接受脊柱融合术和哈灵顿器械治疗的41例青少年特发性脊柱侧凸患者。平均随访时间为23（11 - 30）年。所有患者均完成了自我管理的问卷，包括奥斯威斯利下腰痛残疾评分（ODS）、罗兰·莫里斯评分（RLS）和视觉模拟疼痛强度量表（VAS）。我们发现超过四分之三的患者对工作满意度较高。ODS、RLS和VAS的结果显示分数较低。我们发现术前以及随访时的分数与 Cobb角之间存在显著相关性。以患者为导向的结果与曲线类型、椎体融合范围、最下端固定椎体的倾斜角度、术后Cobb角、矫正丢失或腰椎前凸均无相关性。对青少年特发性脊柱侧凸行哈灵顿棒融合术的长期随访表明，与健康相关的生活质量没有受到重要损害。
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