Head and Neck Imaging

CT Imaging Analysis and Short Term Efficacy Evaluation of Thoracic Pedicle Screw Implantation in the Treatment of Scoliosis

Author:HU Qiao-jun, ZHOU Han, ZOU Jia-yu, et al.

affiliation:Department of Radiology, the Third People's Hospital Of Chengdu, Chengdu 610031, Sichuan Province, China

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Abstract

Objective To explore the CT imaging analysis and short term efficacy evaluation of thoracic pedicle screw implantation in the treatment of scoliosis. Methods 42 patients with scoliosis coming to our hospital from February 2012 to February 2013 were treated with thoracic pedicle screw implantation. To analyze the waist and back pain of patients before the treatment and 1 month, 3 months and 6 months after the treatment; CT imaging parameters were compared before the treatment and 1 month, 3 months and 6 months after the treatment to evaluate the short-term curative effect. CT images of typical cases were analyzed. Results After the surgery, patients with waist and back pain were significantly less than those before treatment (P<0.05). After the surgery, the coronal Cobb angle gradually became smaller, the offset distance of the apical vertebra decreased, the sagittal plane and trunk balance gradually recovered (P<0.05). Conclusion Thoracic pedicle screws in the treatment of scoliosis are effective. CT imaging can help to ensure the success of the surgery and to judge the efficiency. It is worth clinical promotion.

【Keyword】Pedicle Screw; Scoliosis; CT Imaging; Short Term Effect

【Chart number】R445.3;R682

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2017.10.042