Selective decompressive laminectomy and long segment internal fusion for degenerative scoliosis
10.3760/cma.j.issn.1673-4904.2011.08.001
- VernacularTitle:选择性椎管减压加长节段内固定术治疗退行性脊柱侧凸
- Author:
Jie ZHENG
;
Yonghong YANG
;
Dongsheng ZHANG
;
Suliang LOU
;
Qing ZOU
;
Jinqian QIAN
- Publication Type:Journal Article
- Keywords:
Spinal canal;
Decompression;
Scoliosis
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(8):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the operative effect of selective decompressive laminectomy and long segment pedical screw internal fixation for degenerative scohosis beyond 3 segments. Methods During January 2003 to July 2009, 52 cases with degenerative scoliosis beyond 3 segments were treated by posterior selective decompressive laminectomy, intervertebral implanted bone fusion and long segment pedical screw internal fixation, vetebral plate fusion seperately, and all the cases were followed up. Results All the patients were followed up for 12-60 months after operation. The status of back leg pain relief were evaluated through Oswestry score system. The Oswestry score of 1 week,3 months and 12 months after operation were (25.91 ± 9.05), (26.75 ± 8.37), (26.90 ± 8.45) scores respectively and there was statistical significance compared to the preoperative [(46.35± 8.12) scorns] (P ＜0.05). The average coronal Cobb angle was corrected from 15.23°± 3.35° to 10.02°± 3.26° 1 week after operation (P ＜ 0.05). All the internal implant didn't appear loosing or fracture confirmed by X-ray at 3,6,12 months after operation. The intervertebral implanted bone fusion and vetebral plate fusion all got well in 18-24 months after operation. Conclusion Selective decompressive laminectomy and long segment pedical screw internal fixation for the degenerative scoliosis can get better operative effect.
