Objective This paper aims to explore the application of regular and effective lumbar muscle function exercise in patients undergoing long-segment fixation and fusion correction surgery for degenerative scoliosis,in order to provide evi-dence for clinical treatment.Methods A retrospective analysis was conducted on 89 patients diagnosed with degenerative scoliosis and undergoing long-segment fixation and fusion surgery at the Army Medical Center from January 2018 to Decem-ber 2021.Based on whether the patients performed functional exercises for the lumbar muscles(swallow movements)as in-structed by the physician for one year,the patients were allocated to an exercise group(n=40)and a non-exercise group(n=49).The pelvic parameters[pelvic tilt(PT)and sacral slope(SS)],sagittal plane parameters[thoracolumbar kypho-sis(TLK),lumbar lordosis(LL),sagittal vertical axis(SVA),thoracic kyphosis(TK),and proximal junctional angle(PJA)],as well as the Oswestry Disability Index(ODI),Japanese Orthopaedic Association(JOA)score,and Visual Ana-log Scale(VAS)score were compared between the two groups before surgery,2 days after surgery,and 1 year after surgery.Results Before and 2 days after surgery,no significant differences were found in LL,SVA,TLK,TK,and PJA between the two groups(P＞0.05).One year after surgery,the exercise group had significantly lower values of SVA,TLK,TK,and PJA compared to the non-exercise group(P＜0.05).Before and 2 days after surgery,no significant differences were observed in SS and PT between the two groups(P＞0.05).One year after surgery,the exercise group had a significantly higher value of SS and a significantly lower value of PT compared to the non-exercise group(P＜0.05).One year after sur-gery,the exercise group had significantly lower ODI scores and VAS scores compared to the non-exercise group(P＜0.05),while no significant difference was noted in JOA scores between the two groups(P＞0.05).Conclusion Long-term and regular lumbar muscle function exercise can effectively maintain the sagittal plane balance in patients with degenerative scoli-osis after long-segment fixation and fusion correction surgery.It is recommended that such patients perform regular and ef-fective lumbar muscle function exercise after surgery to reduce the incidence of sagittal plane imbalance following scoliosis correction surgery.
关键词
退变性脊柱侧弯/长节段固定和融合术/脊柱平衡/腰背部功能锻炼
Key words
Degenerative scoliosis/Long-segment fixation and fusion surgery/Spinal balance/Lumbar muscle function exercise
维普
万方数据