目的研究采用手术治疗的退变 性脊柱侧凸患者近期治疗的CT影像学特 点。方法 选取2013年7月-2014年6月70例 经手术治疗的退变性脊柱侧凸患者作为研 究对象，采用CT检查对其近期疗效(6个 月)进行评定，分析比较病变临床特点、 脊柱功能恢复情况等资料。结果 术后随 访1、3、6个月患者腰腿疼痛VAS评分均明 显下降，ODI评分降低，与术前比较，P均 ＜0.05，差异显著。术后CT检查示：腰椎 侧凸Cobb角度、顶椎偏移、冠状面平衡、 矢状面平衡均下降，腰椎前凸角角度增 大，与术前比较，P＜0.05，差异显著。 结论 退变性脊柱侧凸疼痛主要发生在胸 腰段或腰部，弯度大部分未超过20°；伴 椎体的旋转、滑移等；术后患者脊柱恢复 生理弯曲和功能，CT检查对手术治疗退变 性脊柱侧凸患者的近期疗效具有积极的指 导意义。

Objective This paper is to study CT imaging characteristics of recent treatment on patients with degenerative scoliosis of surgical treatment. Methods Selected in July 2013 to June 2013, 70 cases of the surgical treatment of degenerative scoliosis patients as the research object, adopts CT examination on its recent curative effect (6 months) to assess, compared lesion clinical characteristics, the spinal function recovery etc. Results Waist pain VAS scores and ODI scores of patients with 1, 3 and 6 months patients postoperative follow-up decreased significantly, P<0.05 was satisfied when compared to preoperative results, and differences were significant. With the rotation and slipping of the vertebral body, and spines of patients recover physiological bending and function, CT examination delivers positive significance on surgical treatment on patients with degenerative scoliosis in the near future.