脊髓栓系综合征 23 例脊髓松解术后腰骶角的变化。
Changes in the Lumbosacral Angle after Spinal Cord Untethering in 23 Children with Tethered Cord Syndrome.
机构信息
The Third Affiliated Hospital of Zhengzhou University, Department of Pediatric Orthopedics, Zhengzhou, China.
出版信息
Turk Neurosurg. 2024;34(1):46-51. doi: 10.5137/1019-5149.JTN.40660-22.2.
AIM
To analyze changes in the lumbosacral angle in children with tethered cord syndrome before and after spinal cord untethering surgery, and to determine the clinical value of such changes at the last follow-up.
MATERIAL AND METHODS
We retrospectively analyzed 23 children over 5 years old who were treated with spinal cord untethering in our hospital from January 2010 to January 2021 and who had complete medical data. X-rays were used to examine the child's spine preoperatively, postoperatively, and at follow-up with frontal and lateral radiographs, and lumbosacral angle data were measured and analyzed.
RESULTS
A total of 23 children aged 5-14 years had their lumbosacral angles measured and analyzed with a postoperative followup of 12-48 months. The mean preoperative lumbosacral angle was 70.30 ± 9.04°, the mean postoperative lumbosacral angle was 63.34 ± 5.60°, and the mean lumbosacral angle at the last follow-up was 61.61 ± 9.14°. There was a statistically significant reduction in the lumbosacral angle in the children postoperatively and at the last follow-up compared to the preoperative period (p=0.002; p=0.001).
CONCLUSION
Spinal cord untethering can improve the inclination of the lumbosacral angle in children older than 5 years with tethered cord syndrome.
目的
分析脊髓栓系综合征患儿脊髓松解术后腰骶角的变化，探讨腰骶角变化在末次随访时的临床价值。
材料与方法
回顾性分析 2010 年 1 月至 2021 年 1 月我院收治的 23 例 5 岁以上脊髓栓系综合征患儿的临床资料，均行脊髓松解术，术前、术后及末次随访时均行全脊柱正侧位 X 线片检查，测量腰骶角并进行分析。
结果
共 23 例 514 岁患儿测量腰骶角，术后随访 1248 个月。术前腰骶角平均为 70.30°±9.04°，术后平均为 63.34°±5.60°，末次随访平均为 61.61°±9.14°。术后及末次随访腰骶角较术前均明显减小（p=0.002;p=0.001）。
结论
脊髓松解术可改善 5 岁以上脊髓栓系综合征患儿腰骶角的倾斜度。
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