Ponte截骨联合多节段TLIF治疗退变性脊柱侧后凸畸形的效果观察
DOI:
作者:
作者单位:

郑州市骨科医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Observation on the effect of Ponte osteotomy combined with multi-segment TLIF in degenerative scoliosis
Author:
Affiliation:

Zhengzhou Orthopedic Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察Ponte截骨联合多节段经椎间孔入路腰椎椎间融合术(TLIF)治疗退变性脊柱侧后凸畸形的效果。方法:将郑州市骨科医院2018年1月~2021年12月收治的90例退变性脊柱侧后凸畸形(脊柱冠状面Cobb角25°~60°)患者采用随机数字表分组。对照组采用≥3级截骨矫形减压手术治疗,观察组采用Ponte截骨联合多节段TLIF治疗。比较2组手术时间、术中出血量、术后引流量、术后住院时间,术前、术后1个月、术后3个月、术后6个月冠状面Cobb角、腰椎前凸角、顶椎偏移距离、腰椎功能障碍指数(ODI)评分,并发症。结果:观察组手术时间短于对照组(P<0.05),术中出血量、术后引流量均少于对照组(P<0.05),术后住院时间组间差异无统计学意义(P>0.05);2组术后1个月、术后3个月、术后6个月冠状面Cobb角、顶椎偏移距离和ODI评分均低于术前(P<0.05),腰椎前凸角均高于术前(P<0.05),且不同时刻2组间上述指标比较差异均无统计学意义(P>0.05);观察组并发症发生率低于对照组(P<0.05)。结论:对退变性脊柱侧后凸畸形患者采用Ponte截骨联合多节段TLIF效果良好,且可减轻手术创伤、加快术后康复、减少并发症。

    Abstract:

    Objective:To observe the effect of Ponte osteotomy combined with multi-segment transforaminal lumbar interbody fusion (TLIF) in degenerative scoliosis. Methods: Ninety patients with degenerative scoliosis (Cobb angle of the coronal plane of the spine 25 ° ~60 °) admitted to Zhengzhou orthopedic hospital from January 2018 to December 2021 were divided into groups by a random digital table. The control group was treated with greater than or equal to grade 3 osteotomy orthopedic decompression, while the observation group was treated with Ponte osteotomy combined with multi-segment TLIF. The operation time, intraoperative bleeding volume, postoperative drainage volume, postoperative hospital stay, coronal Cobb angles, lumbar lordosis angles, apical vertebral deviation distance, lumbar dysfunction index (ODI) scores and complications were compared. Results: The operation time in the observation group was shorter than that in the control group (P < 0.05), and the amount of intraoperative bleeding and postoperative drainage were less than those in the control group (P < 0.05), and there was no statistical difference in the postoperative hospital stay (P > 0.05). At 1 month, 3 months and 6 months after operation, the coronal Cobb angles, apical vertebral deviation distance and ODI scores of the two groups were lower than those before operation (P < 0.05), and the lumbar lordosis angles were higher than those before operation (P < 0.05), and there were no significant differences in the above indexes between the two groups at different moments (P > 0.05). The incidence of complications in the observation group was lower than that in the control group (P < 0.05). Conclusion: Ponte osteotomy combined with multi-segment TLIF is effective for patients with degenerative scoliosis, which can reduce surgical trauma, accelerate postoperative rehabilitation and reduce complications.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-08-12
  • 最后修改日期:2022-08-12
  • 录用日期:2023-01-03
  • 在线发布日期:
  • 出版日期: