退变性脊柱侧凸术后脊柱-骨盆-参数特点及生活质量相关性分析

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Abstract Objective To retrospectively study the spinal-pelvic parameters after long segment fixation in patients with degenerative scoliosis，including sagital vertical axis(SVA)，thoracic kyphosis(TK)，sacral slope(SS)，pelvic tilt(PT)，pelvic incidence(PI)，T1 pelvic angle(TPA)，analyze the difference between the parametersand(PI-LL) and study the correlation between the parameters and the score of quality of life.Methods 32 patients with degenerative scoliosis treated in our hospital from March 2013 to May 2018 were analyzed retrospectively，including 10 males and 22 females.The patients aged from 60.0 to 73.0 years with an average age of (64.0±3.5) years.All patients were treated with posterior long segmental fixation.The spine-pelvic parameters were measured after operation，and the correlation was statistically analyzed by filling in the International Scoliosis Research Society scale(scoliosis research society，SRS-22)，Oswestry disability index(ODI) and visual analogue scale(VAS).Results The postoperativeparameters SVA，LL，PT and PI-LL were closely correlated with SRS-22 score，ODI score，back pain VAS score.SVA was significantly correlated with all sub-items of SRS-22 score and VAS score(P＜0.05).TK was significantly correlated with self-image，psychological status and treatment satisfaction in SRS-22 score(P＜0.05).LL was significantly correlated with all subitems of SRS-22 score，ODI score and back painVAS score (P＜0.05).PT was significantly correlated with ODI score and back pain VAS score (P＜0.05).TPA was significantly correlated with pain，self-image of SRS-22 score，ODI score and back pain VAS score SRS-22 score (P＜0.05).PI-LL was significantly correlated with pain of SRS-22 score，ODI and back pain VAS score(P＜0.05).PI and SS had no significant correlation with all scores，and all spine-pelvic parameters had no significant correlation with lower limb pain VAS score(P＞0.05).Conclusion Postoperative spine-pelvic parameters such as SVA，LL，PT and PI-LL in patients with degenerative scoliosis are closely related to postoperative quality of life score SRS-22，ODI and back pain VAS score，while PI and SS are not significantly correlated with all scores.Appropriate preoperative design for spine-pelvic parameters SVA，LL，PT and PI-LL is helpful to achieve the best postoperative efficacy.

Key words： degenerative scoliosis spine-pelvic parameters long segment fixation quality of life score

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