CAJ | 학술논문

目的退行性腰椎侧凸多并发于腰椎间盘突出、椎间关节退变及椎管狭窄等，是临床常见的脊柱畸形，进一步分析了解其临床特点，从而讨论其手术治疗方案。方法收集该科2003年8月至2010年8月的48例患者，通过了解其临床表现，分析影像学资料特征，从而探讨临床治疗方案。结果在了解退行性腰椎侧凸的基础上，根据病例不同特点而设计个性化治疗方案，取得了较好的临床疗效。结论重新认识退行性腰椎侧凸，应根据患者的临床特点、病变节段、椎管狭窄状况、椎体旋转程度、腰椎侧凸角度及腰椎失稳情况评估手术疗效，制定个性化的治疗方案。
목적퇴행성요추측철다병발우요추간반돌출、추간관절퇴변급추관협착등，시림상상견적척주기형，진일보분석료해기림상특점，종이토론기수술치료방안。방법수집해과2003년8월지2010년8월적48례환자，통과료해기림상표현，분석영상학자료특정，종이탐토림상치료방안。결과재료해퇴행성요추측철적기출상，근거병례불동특점이설계개성화치료방안，취득료교호적림상료효。결론중신인식퇴행성요추측철，응근거환자적림상특점、병변절단、추관협착상황、추체선전정도、요추측철각도급요추실은정황평고수술료효，제정개성화적치료방안。
Objective Degenerative lumbar scoliosis is frequent clinic spine malformation ,and it is complicated by lumbar inter-vertebral disc ,joint of lumbar vertebra cataplasia and lumbar spinal stenosis .The aim of this paper is to study surgical therapeutic regimen for analyzing clinic feature of degenerative lumbar scoliosis .Methods We comprehended symptom and analyzed imageology feature for lumbar spinal stenosis through reviewing 48 cases of operation from August 2003 to August 2010 ,and then approached its therapeutic principle and regimen .Results There were good therapeutic effect on the basis of comprehending degenerative lum-bar scoliosis and designing different treatment plan by different case feature .Conclusion Ii is need to know degenerative lumbar scoliosis again ,in order to work out individual therapeutic regimen based on clinic feather ,process segment ,state of spinal stenosis , angle of lumbar scoliosis ,degree of vertebra rotation and lumbar destabilizing .