Curative effect analysis and postoperative rehabilitation of lumbar posterior wedge osteotomy in the treatment of severe scoliosis deformity

ObjectiveTo analyze the clinical effects and rehabilitation strategy of posterior wedge osteotomy in the treatment of severe scoliosis deformity.

MethodsEighty patients with severe scoliosis were selected and randomly divided into the observation group and control group(40 cases in each group).The observation group was treated with posterior lumbar wedge osteotomy combined with rehabilitation training, and the control group was treated with transpedicular vertebral osteotomy.The Cobb angle correction, Oswestry dysfunction index(ODI), activity of daily living(ADL)score, Frankle grade of spinal nerve function in two groups before and after operation were observed.The operation time, intraoperative bleeding volume, hospital stay after operation, average number of fixed segments and complications were compared between two groups.

ResultsThe differences the Cobb angles in two groups between before and after operation were statistically significant(P < 0.01), the Cobb angle in two groups after operation were significantly lower than that before operation(P < 0.01), and the differences the Cobb angles between two groups before and after operation were not statistically significant(P>0.05).The differences the scores of ODI and ADL in two groups between before and after operation were statistically significant(P < 0.01), the differences the scores of ODI and ADL between two groups after 6 and 12 months of operation were statistically significant(P < 0.05 to P < 0.01).The difference of the Frankle grade between two groups before operation was not statistically significant(P>0.05), and the difference of the Frankle grade between two groups after 12 months of operation was statistically significant(P < 0.01).The intraoperative blood loss and postoperative hospital stay in observation group were significantly lower than those in control group(P < 0.01).There was no statistical significance in the operation time and the average number of fixed segments between two groups(P>0.05).

ConclusionsThe posterior wedge osteotomy of lumbar spine has less trauma, and which combined with rehabilitation training after operation can improve the lumbar spine function, spinal nerve dysfunction and quality of life of patients, and is worthy of clinical promotion.