山东医药2025，Vol.65Issue(5)：1-6,6.DOI:10.3969/j.issn.1002-266X.2025.05.001
机器人辅助内固定选择性融合减压术治疗退行性脊柱侧凸的临床疗效
Clinical efficacy of selective decompression and fusion with robot-assisted internal fixation in the treatment of degenerative scoliosis
摘要
Abstract
Objective To evaluate the clinical effect of selective decompression and fusion with robot-assisted inter-nal fixation in the treatment of adult degenerative scoliosis(ADS).Methods Seventy-eight patients with ADS undergo-ing fusion and decompression with robot-assisted internal fixation were retrospectively analyzed.These patients were divid-ed into two cohorts:Group 1(n=41)receiving selective fusion and decompression,and Group 2(n=37)undergoing full-curve fusion and decompression.Intraoperative parameters(the number of fused vertebrae,operative time,and blood loss)and clinical outcomes were compared.The therapeutic effects before and 6 months after operation was assessed by Cobb angle measurement,Roland-Morris Disability Questionnaire(RMDQ),Visual Analog Scale(VAS),Oswestry Dis-ability Index(ODI),and Japanese Orthopaedic Association(JOA)score.Postoperative complications were documented.Results Compared with Group 2,Group 1 demonstrated significantly fewer fused vertebrae,reduced operative time,and lower intraoperative blood loss(all P<0.05).Both groups exhibited postoperative Cobb angle reduction in comparison with the preoperative values(both P<0.05);however,Group 1 showed a larger residual Cobb angle and smaller angular correc-tion than Group 2(both P<0.05).At 6-month follow-up,both groups showed significant improvements in VAS,RMDQ,ODI,and JOA scores compared to the baseline(all P<0.05).Group 1 had lower JOA scores than Group 2(all P<0.05).No significant differences were found in the complications between these two groups(all P>0.05).Conclusion Selective fusion and decompression with robot-assisted internal fixation is more effective in the treatment of ADS,and it can effec-tively improve clinical symptoms.关键词
退行性脊柱侧凸/腰椎管狭窄/选择性融合减压术/内固定术/机器人辅助技术Key words
degenerative scoliosis/lumbar canal stenosis/selective decompression and fusion/internal fixation/robot-assisted surgery分类
临床医学引用本文复制引用
袁宁,赵经纬,何达,刘波,马腾飞..机器人辅助内固定选择性融合减压术治疗退行性脊柱侧凸的临床疗效[J].山东医药,2025,65(5):1-6,6.基金项目
北京市自然科学基金面上项目(7232336). （7232336）
