CAJ | 학술논문

目的：评估微创单通道多节段间接减压融合手术（XLIF）治疗成人根性疼痛症状性下腰退变侧凸畸形的早期临床疗效。 　　方法：回顾分析2012年6月至9月采用XLIF治疗的9例患者的临床资料。症状性下腰退变合并侧凸8例，男3例，女5例，年龄62~85岁，分别涉及L2-3，L3-4，L4-5节段，Cobb角38°~59°。另1例女性16岁，特发性脊柱侧凸，主弯腰段，Cobb角45°，顶椎L3。 　　结果：手术时间45~120 min，平均失血50 ml。所有患者均未输血，均于术后次日下地活动。无神经功能恶化。腰痛VAS评分由术前（7.34±2.02）分改善至术后（2.87±1.45）分，腿痛VAS评分由术前（8.02±1.61）分改善至术后（2.92±1.53）分，JOA评分由术前7.27±5.17改善至术后12.79±7.82，ODI评分由术前30.55±11.30改善至19.98±14.0。 　　结论：初步验证了XLIF的有效性和安全性。
목적：평고미창단통도다절단간접감압융합수술（XLIF）치료성인근성동통증상성하요퇴변측철기형적조기림상료효。 　　방법：회고분석2012년6월지9월채용XLIF치료적9례환자적림상자료。증상성하요퇴변합병측철8례，남3례，녀5례，년령62~85세，분별섭급L2-3，L3-4，L4-5절단，Cobb각38°~59°。령1례녀성16세，특발성척주측철，주만요단，Cobb각45°，정추L3。 　　결과：수술시간45~120 min，평균실혈50 ml。소유환자균미수혈，균우술후차일하지활동。무신경공능악화。요통VAS평분유술전（7.34±2.02）분개선지술후（2.87±1.45）분，퇴통VAS평분유술전（8.02±1.61）분개선지술후（2.92±1.53）분，JOA평분유술전7.27±5.17개선지술후12.79±7.82，ODI평분유술전30.55±11.30개선지19.98±14.0。 　　결론：초보험증료XLIF적유효성화안전성。
Objective:To evaluate the early clinical outcome of minimum invasive single channel multi-level indirect decompression lateral interbody fusion (XLIF) in the treatment of adult lumbar degenerative scoliosis with radicular pain. Methods:The clinical data of 9 patients undergoing XLIF between June and September 2012 were retrospectively analyzed in the study. There were 8 patients with lumbar degenerative scoliosis (3 males and 5 females, aged from 62 to 85 years, sur-gical levels:L2-3, L3-4 and L4-5, Cobb angle:38 to 59 degrees) and 1 patients with idiopathic scoliosis (female,16 years old, main curve in lumbar spine, Cobb angle:45 degrees, apical vertebrae L3). Results:The duration of the operation was 45 to 120 min. The mean column of blood loss was 50 ml. All patients did not un-dergo transfusion and were able to conduct bedside activity one day after surgery. No serious complications and nerve defi-cit occurred. Back pain VAS improved from preoperative 7.34 ± 2.02 to post-operative 2.87 ± 1.45;leg pain VAS improved from preoperative 8.02 ± 1.61 to post-operative 2.92 ± 1.53; JOA improved from preoperative 7.27 ± 5.17 to post-operative 12.79±7.82;ODI improved from preoperative:30.55±11.30 to post-operative 19.98±14.0. Conclusions: XLIF technology is effective and safe in the treatment of adult lumbar degenerative scoliosis with radicular pain.