【摘 要】
：
目的 分析老年退行性腰椎侧凸的临床特点，探讨其治疗方案.方法 收治2008年3月至2014年3月27例患者.通过综合分析临床表现、影像学等结果，选择各种手术治疗方案，采取减压、适度矫形、长短节段内固定融合方法.结果 依据患者不同特点而设计出个体化治疗方案，取得了较满意的临床疗效.随访1～7年，平均3.1年.按VAS评分疗效评定标准，术前VAS评分为7.6±1.4分(6～9分)，终末随访为2.1±1
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目的 分析老年退行性腰椎侧凸的临床特点，探讨其治疗方案.方法 收治2008年3月至2014年3月27例患者.通过综合分析临床表现、影像学等结果，选择各种手术治疗方案，采取减压、适度矫形、长短节段内固定融合方法.结果 依据患者不同特点而设计出个体化治疗方案，取得了较满意的临床疗效.随访1～7年，平均3.1年.按VAS评分疗效评定标准，术前VAS评分为7.6±1.4分(6～9分)，终末随访为2.1±1.2分(0～4分)；术前ODI评分为32.3±7.7分(18 ～ 45分)，终末随访为12.4±7.5分(5 ～ 31分)，统计分析显示术前与终末随访的VAS和ODI评分差异有统计学意义(P＜0.05).按ODI评分疗效评定标准，本组患者术后优21例(78％)，良4例(15％)，可2例(7％)，差0例(0).总体优良率为92％.结论 老年退行性腰椎侧凸及治疗应依据患者的临床特点、病变节段、椎管狭窄状况、椎体旋转程度、侧凸角度及失稳状况，选择制定个体化治疗方案，取得较好疗效.
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