Role of lumbar muscle function exercise in maintaining the correction effect of degenerative scoliosis patients
Qiu Si
Yin Xiang
Luo Keyu
Wang Tengyu
Zhao Jianhua
Abstract：Objective This paper aims to explore the application of regular and effective lumbar muscle function exercise in patients undergoing long-segment fixation and fusion correction surgery for degenerative scoliosis,in order to provide evi-dence for clinical treatment.Methods A retrospective analysis was conducted on 89 patients diagnosed with degenerative scoliosis and undergoing long-segment fixation and fusion surgery at the Army Medical Center from January 2018 to Decem-ber 2021.Based on whether the patients performed functional exercises for the lumbar muscles(swallow movements)as in-structed by the physician for one year,the patients were allocated to an exercise group(n=40)and a non-exercise group(n=49).The pelvic parameters[pelvic tilt(PT)and sacral slope(SS)],sagittal plane parameters[thoracolumbar kypho-sis(TLK),lumbar lordosis(LL),sagittal vertical axis(SVA),thoracic kyphosis(TK),and proximal junctional angle(PJA)],as well as the Oswestry Disability Index(ODI),Japanese Orthopaedic Association(JOA)score,and Visual Ana-log Scale(VAS)score were compared between the two groups before surgery,2 days after surgery,and 1 year after surgery.Results Before and 2 days after surgery,no significant differences were found in LL,SVA,TLK,TK,and PJA between the two groups(P＞0.05).One year after surgery,the exercise group had significantly lower values of SVA,TLK,TK,and PJA compared to the non-exercise group(P＜0.05).Before and 2 days after surgery,no significant differences were observed in SS and PT between the two groups(P＞0.05).One year after surgery,the exercise group had a significantly higher value of SS and a significantly lower value of PT compared to the non-exercise group(P＜0.05).One year after sur-gery,the exercise group had significantly lower ODI scores and VAS scores compared to the non-exercise group(P＜0.05),while no significant difference was noted in JOA scores between the two groups(P＞0.05).Conclusion Long-term and regular lumbar muscle function exercise can effectively maintain the sagittal plane balance in patients with degenerative scoli-osis after long-segment fixation and fusion correction surgery.It is recommended that such patients perform regular and ef-fective lumbar muscle function exercise after surgery to reduce the incidence of sagittal plane imbalance following scoliosis correction surgery.
Keywords：Degenerative scoliosisLong-segment fixation and fusion surgerySpinal balanceLumbar muscle function exercise
Publication Date：2024-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 76-80 )