Long segmental fusion for degenerative lumbar scoliosis
HAI Yong
MENG Xianglong
LU Shibao
SU Qingjun
GUAN Li
ZANG Lei
LIU Yuzeng
Abstract：Objective To analyze the surgical effect of selective decompression and long segmental fusion for degenerative lumbar scoliosis (DLS). Methods Nineteen DLS patients without prior spinal diseases were performed selective decompression and long segmental fusion from January 2004 to June 2007 in Chaoyang Hospital affiliated to Capital Medical University. Surgical segments as well as estimate blood loss were recorded, the differences of Cobb angles,lumbar lordotic angles, visual analogue scale (VAS) score and Oswestry disability index (ODI) between preoperation and the last follow-up were compared. Results Decompression involved 1-4 segments, fusion levels ranged from 5-9 vertebral bodies, and interbody fusion was performed in 15 patients and 24 levels were fused. The differences of Cobb angles, lumbar lordotic angles,coronal/sagittal imbalance, VAS scores and ODI scores had statistical significance between preoperation and the final follow-up(P <0.05). Results of degree of satisfaction at more than 1 year follow-up showed that 12 patients would like to accept the same surgical treatment again. Nine patients had postoperative complications, including 2 cases of dural leakage. No death or other major complications occurred, and no internal fixator failures had happened at the final follow-up. Conlusions Selective decompression and long segmental fusion is an effective method for DLS patients with coronal or sagittal imbalance.
Keywords：Lumbar vertebraeScoliosisSpinal fusionDegenerative diseases
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 200-206 )