摘要
[目的]探讨治疗青少年先天性半椎体脊柱侧凸畸形的手术方法及治疗效果.[方法]对18例青少午先天性半椎体脊柱侧凸患者,按照术式分为侧前路矫正、前后路联合矫正.首先通过胸腰段、腰段脊柱侧凸的半椎体、椎间盘切除,然后采用侧前路短节段椎体螺钉固定,旋转棒的三维旋转矫正脊柱的畸形7例;采用前后路联合入路,经后路行残余半椎体的关节突、椎板切除,凸侧加压、凹侧支撑固定11例.[结果]18例患者中侧凸平均矫正Cobb's角36.7°,矫正率77%,经18～28个月随访,达到满意的矫形效果,丢失率低,融合良好.[结论]小儿半椎体畸形应早期手术治疗.侧前路和前、后路联合半椎体切除临床效果满意,其中前路矫正手术用于胸腰椎、腰椎单一半椎体畸形.
[ Objective]To discuss the operation and clinical results about surgical treatment of Scoliosis of hemivertebra of children. [Method] Eighteen cases of congenital scoliosis of hemivertebra were treated by hemivertebra ectomy, disc excision, interbody fusion through anterior and anterior - posterior approach. [ Result] All eases had satisfactory correction and fusion results, and the corrections were well maintained according to the result of postoperative follow-up from 18 months to 28 months. The average Cobb＇s angle of correction was 36.7°, the rate of correction was 77%. [ Conclusion] Children＇s hemivertebra deformity should be treated surgically earlier. Anterior and anterior-posterior approach to correct thoracolumbar.and lumbar scoliosis can achieve high fusion rate and satisfactory result. The correction could be well maintained..
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第24期1864-1866,共3页
Orthopedic Journal of China
关键词
先天性脊柱侧凸
半椎体
矫正
手术
Congenital scoliosis
Hemivertebra
Correction
Operation
