摘要
目的评估脊柱-骨盆参数与退行性腰椎滑脱(degenerative lumbar spondylolisthesis,DLS)患者手术预后的相关性。方法回顾性分析2019年1月~2021年8月间行腰椎减压植骨融合复位内固定术的DLS患者31例,对Oswestry功能障碍指数(Oswestry disability index,ODI)、数字等级评定量表(numerical rating scale,NRS)腿痛和腰痛评分与术前术后矢状位参数SS、PT、PI、LL及其改善程度之间的相关性进行评估。结果DLS患者末次随访时,脊柱-骨盆参数LL、SS、PT、PI均与术前相比有明显改善(P<0.05),ODI指数、NRS腿痛、腰痛评分也较术前有显著改善(P<0.05)。Pearson相关性分析发现,术前脊柱-骨盆参数均与ODI、NRS腿痛、腰痛评分无显著相关性;而术后脊柱-骨盆参数的改善,如术后PT的改善与术后ODI指数、NRS腰痛评分有显著相关性(P<0.05)。结论术前脊柱-骨盆参数与术后的临床预后没有显著相关性,而术后脊柱-骨盆参数的改善则与临床预后具有明显的相关性,其中,PT、PI的改善与术后ODI、NRS腰痛评分具有显著相关性,PI、PT改善能使患者获得良好的手术预后。
Objective To evaluate the correlation between spinal pelvic parameters and surgical prognosis in patients with degenerative lumbar spondylolisthesis(DLS).Methods A retrospective analysis was conducted on 31 DLS patients who underwent lumbar spine decompression,bone graft fusion,reduction,and internal fixation from January 2019 to August 2021 in our hospital.The correlation between the Oswestry Disability Index(ODI),Numerical Rating Scale(NRS),leg pain,and back pain scores,as well as the preoperative and postoperative sagittal parameters SS,PT,PI,LL,and their degree of improvement were evaluated.Results At the last follow-up of DLS patients,the spinal pelvic parameters LL,SS,PT,and PI were significantly improved compared to preoperative levels(P<0.05).The ODI index,NRS leg pain,and low back pain scores were also significantly improved compared to preoperative levels(P<0.05).Pearson correlation analysis found that there was no significant correlation between preoperative spinal pelvic parameters and ODI,NRS leg pain,and low back pain scores.The improvement of postoperative spinal pelvic parameters,such as postoperative PT,was significantly correlated with postoperative ODI index and NRS low back pain score(P<0.05).Conclusion There is no significant correlation between preoperative spinal pelvic parameters and postoperative clinical prognosis,while the improvement of postoperative spinal pelvic parameters is significantly correlated with clinical prognosis.Among them,the improvement of PT and PI is significantly correlated with postoperative ODI and NRS low back pain scores,and the improvement of PI and PT can help patients achieve good surgical prognosis.
作者
李仁虎
LI Ren-hu(Lu’an Hospital Affiliated to Anhui Medical University/Lu’an People’s Hospital,Lu’an,Anhui 237000,China)
出处
《颈腰痛杂志》
2023年第5期800-802,807,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
腰椎滑脱
腰椎矢状位序列
临床疗效
lumbar spondylolisthesis
lumbar sagittal sequence
clinical efficacy
