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- W2362201839 abstract "[Objective]To explore the surgical plan of lumbar degenerative de novo scoliosis combined with vertebral stenosis(LDDS) and evaluate the surgical efficiency.[Method]From July 2003 to Jan.2007,32 LDDS patients were diagnosed and operated in the author’s hospital.The X-ray,computed tomography and MRI radiological data were measured carefully preoperately which included the Cobb’s angle,vertebral rotational and lateral subluxation degree.All the patients were treated by posterior decompression and pedicle screw internal fixation,and the surgery,fluoroscopic time and bleeding amount were recorded.Patients were administered pre- and postoperatively with clinical outcome surveys of Visual Analogue Pain Score(VAS),Low Back Outcome Score(LBOS).Pre- and postoperative measurements of the Cobb's angle and lumbar lordosis of the involved segments were analyzed.[Result]The surgery time was 4±0.5 hours,the average bleeding amount was 400±30 ml,the fluoroscopic time was 30±5 min.All the patients were followed from 8 months to 4 years,and radiography was proceeded on 8 and 16 months respectively post surgery.Twenty-four cases got good bone fusion,and mean Cobb's angle decreased from 37.2 to 18.4 degrees,mean focal lordosis increased from 13.1 to 16.4 degrees,mean vertebral rotation angle decreased from 14.2 to 9.8 degrees,mean preoperative measures of VAS and LBOS improved from 5.3±2.2 and 24.8±15.6,respectively to 2.2±2.1 and 44.8±18.0 at last follow-up,the Cobb’s angle,lumbar lordosis and the degree of vertebral rotation had significantly difference pre and post surgery(t test,P0.05).Twenty-six of 32 patients considered their outcome to be good or excellent.One patient required extension of his fusion at 12 months for adjacent segment stenosis.[Conclusion]This series suggests that surgery for degenerative lumbar scoliosis using posterior decompression and pedicle screw internal fixation is effective,but it is dangerous and traumatical.Only by the mini-invasive surgery and individualized internal fixation design can we get a better operative effect." @default.
- W2362201839 created "2016-06-24" @default.
- W2362201839 creator A5087335378 @default.
- W2362201839 date "2008-01-01" @default.
- W2362201839 modified "2023-09-24" @default.
- W2362201839 title "Surgical treatment of the lumbar degenerative de novo scoliosis combined with vertebral stenosis" @default.
- W2362201839 hasPublicationYear "2008" @default.
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