International Journal of Clinical Research

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.

Degenerative scoliosis secondary to spinal canal stenosis; Long-segment decompression and fusion surgery; Short-segment decompression and fusion surgery