摘要
背景:特发性脊柱侧弯在脊柱侧弯中最常见,有时还伴有神经、内分泌系统以及营养代谢的异常,但保守治疗效果欠佳,通常需要进行手术治疗。畸形矫正是一个极其复杂的过程,对特发性脊柱侧弯治疗、转归等进行深入研究意义巨大,但目前缺少相近研究。目的:观察后路钉棒内固定置入治疗特发性脊柱侧弯的矫正效果,探讨影响其效果的相关因素。方法:回顾性分析近4年80例接受后路钉棒内固定置入治疗的特发性脊柱侧弯患者的病例资料,记录研究患者年龄、性别、病程、治疗前后X射线平片测量的冠状面Cobb's角、躯干偏移度等观察指标,并进行统计学分析。结果与结论:单因素分析显示患者性别和患者病程均与内固定后矫正效果无明显相关(P>0.05);而患者年龄分布、侧凸的位置、侧凸的柔韧性均与内固定疗效相关(P<0.05)。后路钉棒内固定治疗特发性脊柱侧弯可以获得明显的矫正效果,患者的年龄、侧凸的位置、侧凸的柔韧性等对内固定效果有明显的影响,患者的性别和病程对内固定效果无明显影响。
BACKGROUND： Idiopathic scoliosis is most common among all the scoliosis. Accompanied by the nervous system, the endocrine system as well as nutritional and metabolic abnormalities, patients usually cannot be redressed and cured by conservative treatment, but often require surgical operation. Surgery for malformation is a very complicated project, and is really of great significance for an in-depth research on treatment and turnover of idiopathic scoliosis. OBJECTIVE： To observe the correction effect of posterior screw-rod fixation for idiopathic scoliosis, and explore the relevant factors influencing its effectiveness. METHODS： We retrospectively analyzed 80 cases receiving pedicle screw fixation in the treatment of idiopathic scoliosis in the latest four years. Age, gender, disease duration, preoperative and postoperative X-ray measurement of coronal Cobb＇s angle, and trunk deviation were recorded, and statistically analyzed. RESULTS AND CONCLUSION： Univariate analysis showed that gender and disease duration were not significantly correlated with postoperative correction results （P 〉 0.05）. However, the age distribution of patients, the location of scoliosis, and scoliosis flexibility were associated with curative effects of internal fixation （P 〈 0.05）. Posterior screw-rod fixation for idiopathic scoliosis can achieve significant effects. The patient＇s age, location and flexibility of scoliosis have a significant effect on the effects of fixation. The patient＇s gender and disease duration had no significant effect on fixation effects.
出处
《中国组织工程研究》
CAS
CSCD
2014年第9期1374-1379,共6页
Chinese Journal of Tissue Engineering Research
