The efficacy of long-segment versus short-segment decompression and fusion surgery for degenerative scoliosis secondary to spinal canal stenosis
比较长节段与短节段减压固定融合术应用于退行性脊柱侧凸继发椎管狭窄的作用效果

摘要

目的 比较长节段与短节段减压固定融合术应用于退行性脊柱侧凸继发椎管狭窄的作用效果差异。方法 我院于2021年4月-2024年5月进行手术研究，共计42例，按照收治顺序先后分为手术A组（21例）与手术B组（21例），分别行长节段减压固定融合术、短节段减压固定融合术，比较两组治疗效果差异。结果 治疗后手术B组影像测量角度、生活健康水平高于手术A组，差异有统计学意义P＜0.05。治疗后手术B组住院时间、术后痛觉感受情况、安全情况数值低于手术A组，差异有统计学意义P＜0.05。结论 长节段与短节段减压固定融合术应用于退行性脊柱侧凸继发椎管狭窄患者中效果差异较大，后者能够更好地减轻患者术后痛觉感受情况，缩短预后时间，安全性高，前者手术固定效果更好。

Abstract

Objective To compare the differences in outcomes between long-segment and short-segment decompression and fusion surgeries in the treatment of degenerative scoliosis secondary to spinal canal stenosis.
Methods From April 2021 to May 2024, our hospital conducted a surgical study involving 42 cases. According to the order of admission, patients were divided into Surgical Group A (21 cases) and Surgical Group B (21 cases), receiving long-segment and short-segment decompression and fusion surgeries, respectively. The differences in treatment outcomes between the two groups were compared.
Results After treatment, Group B showed higher imaging angle measurements and health-related quality of life scores compared to Group A, with statistically significant differences (P < 0.05). Meanwhile, Group B had lower hospitalization times, postoperative pain perception, and safety-related values than Group A, also showing statistically significant differences (P < 0.05).
Conclusion   There are significant differences in the effects of long-segment and short-segment decompression and fusion surgeries in patients with degenerative scoliosis secondary to spinal canal stenosis. Short-segment surgery is more effective in reducing postoperative pain perception, shortening recovery time, and ensuring safety, whereas long-segment surgery provides better surgical fixation outcomes.