成人退变性脊柱侧弯的外科治疗
Surgical treatment of adult degenerative scoliosis.
作者信息
Palmisani Matteo, Dema Eugen, Cervellati Stefano
机构信息
Centre for Scoliosis and Spinal Diseases, Hesperia Hospital, Via Arquà 80, Modena, Italy,
出版信息
Eur Spine J. 2013 Nov;22 Suppl 6(Suppl 6):S829-33. doi: 10.1007/s00586-013-3012-1. Epub 2013 Sep 24.
Abstract
INTRODUCTION
The surgical treatment of adult scoliosis still presents many points of discussion. Decision-making on the type of treatment is mandatory to evaluate all the possible alternatives to surgery.
MATERIALS AND METHODS
From January 2000 to December 2008, 49 cases of adult degenerative scoliosis and kyphoscoliosis were surgically treated. Thirty-six patients were monitored for a mean of 8 years (5-10). There were 10 males and 26 females, with a mean age of 66 years (55-80). Arthrodesis was carried out using pedicle screws at all levels extending to the sacrum in 30 cases and to the ileum in 4. Laminectomy was performed in 20 cases, radicular liberation in 15, PLIF in 10.
RESULTS
After an average term of 8 years (5-10) we record 8 (23 %) excellent cases, 10 (29 %) good, 12 (34 %) satisfactory, 5 (14 %) bad. The VAS in the pre-operative period had a value of 7 (5-9) passed in the post-operative period of 3 (0-6). 13 reoperations were performed (36 %).
摘要
引言
成人脊柱侧弯的外科治疗仍存在许多争议点。在决定治疗方式时，必须评估所有可能的手术替代方案。
材料与方法
2000年1月至2008年12月，对49例成人退变性脊柱侧弯和脊柱后凸侧弯患者进行了手术治疗。对36例患者进行了平均8年（5 - 10年）的随访。其中男性10例，女性26例，平均年龄66岁（55 - 80岁）。30例患者在所有节段使用椎弓根螺钉进行融合直至骶骨，4例直至髂骨。20例行椎板切除术，15例行神经根松解术，10例行椎间融合器腰椎椎体间融合术。
结果
平均随访8年（5 - 10年）后，我们记录到8例（23%）优，10例（29%）良，12例（34%）可，5例（14%）差。术前视觉模拟评分（VAS）为7分（5 - 9分），术后为3分（0 - 6分）。进行了13次再次手术（36%）。
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