| 马华松,周建伟,邹德威,邵水霖,王晓平,谭荣,张墨.极重度脊柱侧凸的二期手术治疗[J].脊柱外科杂志,2007,5(6):334-337. |
极重度脊柱侧凸的二期手术治疗  点此下载全文 (Fulltext) |
| 马华松 周建伟 邹德威 邵水霖 王晓平 谭荣 张墨 |
| 100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心;100101 北京, 解放军第306医院, 全军脊柱外科中心 |
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| 摘要： |
| 目的 探讨极重度脊柱侧凸患者的手术治疗方法。方法 对11例极重度脊柱侧凸患者的二期手术治疗进行回顾性研究，其中男2例，女9例；年龄为11~17岁，平均13.4岁。Cobb角为130°~170°，平均159°。采用二次手术，一期将130°~170°极重度的脊柱侧凸矫正47%左右，将其变为重度脊柱侧凸，4~6个月后再采用常规方法进行二期矫形，使矫正率达到65%左右。一期手术行小切口手术，采用内撑开技术进行撑开。4~6个月以后再行二期手术，常规后路矫形，僵硬的病例可采用小关节突松解或者360°截骨，并进行剃刀背切除和植骨。结果 二次术后Cobb角为46°~66°，平均58°。身高增加14~21 cm，平均19.1 cm。所有病例的手术均顺利完成，无严重并发症出现。结论 对于极重度脊柱侧凸的患者采用二期手术治疗，可以明显提高畸形的矫正率，手术的安全性也得到了提高。 |
| 关键词：胸椎 脊柱侧凸 外科手术 |
| Surgical treatment of extremely servere scoliosis in two stages Fulltext |
| MA Huasong ZHOU Jianwei ZOU Dewei SHAO Shuilin WANG Xiaoping TAN Rong ZHANG Mo |
| Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China;Spine center of PLA, 306 Hospital, Beijing 100101, China |
| Fund Project: |
| Abstract: |
| Objective To discuss surgical treatment for extremely severe scoliosis. Methods Eleven patients, ranging in age from 11 to 17 years old with a mean age of 13.4 years old, were treated in two-stage surgeries for extremely severe scoliosis. The average preoperative Cobb's angle was 159°(130°-170°). The surgical procedures was performed in two stages. The coronal curve was reduced by about 47% after the first surgery and became severe scoliosis. After the second stage surgery, the coronal curve was reduced by about 65% compared to the pretreated radiographs. Spine was propped up with minimally invasive technique by mini-incision in first surgery. Posterior correction, 360° osteotomy, arthrosis release, shave abnormality excision and fusion were performed in the second surgery. Results The postoperative correction of curve was 58°(46°-66°), and the stature increased by 19.1 cm(14-21cm). All patients underwent the surgery safely and no severe complications occurred. Conclusion Surgical treatment for extremely severe scoliosis in two stages increase correction effect and operation safety. |
| Keywords:Thoracic vertebrae Scoliosis Operative surgical procedures |
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