Posterior Decompression and Lumbar Interbody Fusion with Internal Fixation Treating Degenerative Lumbar Scoliosis
10.3969/j.issn.0253-9896.2014.02.025
- VernacularTitle:后路减压联合椎间融合治疗腰椎退变性侧凸的临床疗效
- Author:
Shengshou HAN
;
Hailong LIU
;
Weisong XU
;
Bin LIU
- Publication Type:Journal Article
- Keywords:
lumbar vertebrae;
scoliosis,degenerative;
decompression,surgical;
lumbar interbody fusion
- From:
Tianjin Medical Journal
2014;(2):181-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical outcomes of posterior decompression and lumbar interbody fusion with internal fixation treatment for degenerative lumbar scoliosis (DLS). Methods Ninety-eight patients underwent surgery for DLS were retrospectively reviewed in this study. The mean age of the patients(male 35 and femail 63) was (56±9) years. The mean Cobb angle of curves was (26±9)° and the mean scoliosis Cobb angle of lumbar was (19±11)° in patients before surgery. A posterior medial incision was made for spinal exposure. According to the preoperative plan, patients were operated with posterior de-compression and lumbar interbody fusion with internal fixation. The clinical outcomes were assessed by the JOA scores.The preoperative and postoperative Cobb angle was recorded. Results The mean follow-up time was (3.7±2.4) years. The mean JOA scores were improved from (10±2) points preoperatively to (26±3) points at the last follow-up. The excellent or good outcome rates were 89.7%for patients with surgery. The average interbody fusion time was (5.7±1.4) months. The mean postoperative Cobb angle was (6±2)° at the last follow-up, and the mean Cobb angle correction was (17±4)°, with the correction rate of 59.2%. The mean lumbar lordosis angle was (12±3)°. There was no failure in internal fixation. Conclusion The posterior decompression and lumbar interbody fusion with internal fixation appears to be a reasonable option for degenerative lumbar scoliosis.
