脊柱后路截骨矫形术治疗脊柱后凸畸形的临床分析

摘要

Objective To discuss the clinical effect of posterior spinal osteotomy orthormorphia in treatment of kypho-sis. Methods 35 patients with kyphosis treated in our hospital from March 2012 to March 2014 were selected as obser-vation group,and they were treated with posterior spinal osteotomy orthormorphia.35 patients at the same period were selected as control group,and they were treated with the spinal front osteotomy.The operation situation,hospital stay,cor-rection situation,occurrence of complication and the life quality of patients in two groups were observed. Results There were no statistical difference of surgery time,the blood volume during surgery and hospital stay between two groups (P>0.05).The correction angule,growth in stature,and sagittal migration after operation in observation group were evidently better than those in control group(P<0.05).The occurrence rate of complication in observation group was evidently low-er than that in control group (P<0.05).The life quality after surgery in observation group was evidently higher than that in control group (P<0.05). Conclusion The clinical effect of posterior spinal osteotomy orthormorphia in treatment of kyphosis is significant,which has high correction rate and safety and it can improve the life quality of patients and prog-nosis.It is worthy of clinical promotion and application.%目的：探讨脊柱后路截骨矫形术治疗脊柱后凸畸形的临床效果。方法从本院2012年3月~2014年3月收治的脊柱后凸畸形患者中选取35例作为观察组，均行脊柱后路截骨矫形术治疗，另选同期该症患者35例作为对照组，行脊柱前方截骨术治疗，观察两组患者的手术情况、住院时间、矫正情况、并发症发生情况及生活质量。结果两组患者的手术时间、术中出血量及住院时间比较，差异无统计学意义(P>0.05)；观察组的术后矫正角度、身高增长及矢状偏移情况显著好于对照组(P<0.05)；观察组的并发症发生率明显低于对照组(P<0.05)；观察组的术后生活质量显著高于对照组(P<0.05)。结论脊柱后路截骨矫形术治疗脊柱后凸畸形患者具有显著效果，矫正率及安全性较高，能有效提高患者的生活质量，改善预后，值得临床推广应用。