Effect and prognosis of anterior posterior surgery combined with internal fixation on treatment of patients with severe idiopathic thoracolumbar scoliosis
10.7619/jcmp.201711024
- VernacularTitle:重度特发性胸腰段脊柱侧凸患者应用前后路手术联合内固定的疗效及预后
- Author:
Jiangtao SUI
1
;
Junyi MA
;
Junjie CHENG
;
Yuan MA
;
Huizhong TIAN
Author Information
1. 新疆医科大学第六附属医院 脊柱外科
- Keywords:
scoliosis;
anterior and posterior surgery;
internal fixation
- From:
Journal of Clinical Medicine in Practice
2017;21(11):81-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and prognosis of anterior posterior surgery combined with internal fixation on treatment of patients with severe idiopathic thoracolumbar scoliosis.Methods A total of 60 patients with severe idiopathic thoracolumbar scoliosis were randomly divided into two groups.The anterior and posterior group was treated with anterior and posterior internal fixation,and posterior group was treated with posterior combined with internal fixation.Effect,preoperative and postoperative indicators and condition during follow-up were observed.Results There were significant differences in operation time,blood loss,length of stay between two groups (P<0.05).There was no significant difference of fusion segments between two groups (P>0.05).There were significant differences in the main bending angle Cobb,kyphosis and trunk shift between two groups (P<0.05).There were no significant differences in the final follow-up Cobb angle loss,the degree of kyphosis loss,the correction rate of Cobb angle and the correction rate of kyphosis between two groups (P>0.05).Conclusion Anterior combined with posterior internal fixation is similar to posterior internal fixation in treatment of patients with severe idiopathic thoracolumbar scoliosis,but the operation time and hospital stay are shorter by posterior internal fixation,and the amount of bleeding is greater and the risk is higher.
