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| Analysis on Efficacy of Short Segment and Long Segment Fixation and Fusion for the treatment of Degenerative Scoliosis |
| MA Yuan |
| Third People's Hospital of Yunnan, Yunnan Kunming 650000, China |
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Abstract Objective: To explore the effect of short segment and long segment fixed fusion in the treatment of scoliosis. Methods: 120 cases of elderly patients who underwent adult degenerative scoliosis from February 2014 to October 2015 were divided into two groups according to the random number method. The control group and the observation group were There were 60 patients in each group who underwent surgical treatment with long segment and short segment fixation, respectively, to compare the effects of treatment. Results: The control group and the observation group patients in the operation time, operative blood loss and surgical segment number three relates to the difference index data were statistically significant (t=19.167, 1.756, 9.515, P<0.05), from the data, each value is higher than the observation group in the control group, the control group and the patients in the observation group were treated before the VAS data. The difference of leg pain and VAS disability index scores were not statistically significant (P>0.05), in the 2 years after treatment, the observation group and the control group of patients with VAS pain, leg pain and VAS disability index score before treatment data differences were statistically significant (P<0.05), and the value of three projects were for treatment after 2 years of lower than that before treatment, in comparison to 2 years after treatment of the data, differences between the control group and observation group were not statistically significant (P>0.05), the control group and the observation group of patients before treatment Scoliosis Cobb'Cobb' angle, kyphosis angle and lordosis angle difference, sagittal balance and coronal balance several data items were not statistically significant (P>0.05), in the 2 years after treatment, and the treatment of the numerical difference between the above 5 items before were statistically significant (P< 0.05), and scoliosis Cobb 'Cobb' angle, kyphosis angle, sagittal balance, lower than the value for 1 years after treatment of coronal balance in several items before treatment, the physiological lordosis angle is higher than the value of 2 years after treatment before treatment, in the treatment of scoliosis after one year, Cobb 'Cobb' angle, kyphosis angle of two projects, with statistical significance of the data of the observation group and the control group (P<0.05), and the numerical difference were the observation group than in the control group, lordosis angle, sagittal balance, coronal balance in three projects and the observation group There was no significant difference between the two groups (P>0.05). Conclusion: Short segment and long segment fixation have different advantages and disadvantages, in patients with scoliosis patients choose surgery program, we should fully consider the patient's own situation, if the patient's physical condition is better, and hope to achieve better Long-term treatment effect, then you can choose a long segment of fixed fusion, if the patient's physical condition is poor, the trauma is not high tolerance, it is recommended to use short-segment fixed fusion.
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2018, Vol. 24 
