摘要
[目的]探讨King Ⅲ型特发性脊柱侧凸经胸侧前方椎体三维矫形术的治疗效果。[方法]回顾本院2003年9月～2005年9月应用TSRH、CDH-M8等矫形器械对12例青少年KingⅢ型特发性脊柱侧凸患者经凸侧胸腔于椎体侧前方行椎间松解、椎体三维矫形、植骨融合内固定术的临床资料,分析评价其手术并发症、侧凸矫正率及随访结果。[结果]术后出现肺部并发症2例,1例肺不张,1例呼吸道梗阻。经气管插管和呼吸机辅助呼吸后缓解。所有病例均未出现大血管损伤、脊髓损伤、肺炎和乳糜胸等并发症。术前胸椎Cobb’s角48°～66°,平均52.6°。术后胸椎残余Cobb’s角平均15.2°,矫正率77.8%。随访12～36个月,平均18.5个月。12例患者均获得了较好的节段性骨融合,矫正率无明显丢失,未发现假关节、内固定松动或断裂、失代偿等并发症。[结论]经胸椎体侧前方三维矫形手术是治疗KingⅢ型特发性脊柱侧凸畸形的一种较安全、有效的内固定方式。
[ Objective] To study the results of three dimensional orthomorphia treatment of king type Ⅲ idiopathic scoliosis transthoracic anterolateral. [ Method] From Sep. 2003 to Sep. 2005, clinical data of applications of TSRH, CDH-M8 to 12 patients of king type Ⅲ adolescent idiopathic scoliosis transthoracic anterolateral were investigated with practicing ertebral solution centrum, centrum three dimensional orthopedic, bone graft fusion internal fixation, and analyzing and to appraising their operation complications, scoliosis correction rats and follow-up results. [ Result] Postoperative complications of bellows were found in two examples, one was pulmonary closure and one was respiratory tract obstruction, and they had been soothed by trachea cannula and assistor respiration of respirator. [ Conclusion ] There weren＇t injury of great blood vessel, spinal injury, pneumonia and chylothorax in all cases. Cobb＇s angle of thoracic vertebra was 48^o-66^o preoperatively, and the average was 52.6^o. The average Cobb＇s angle of remnant vertebra was 15.2^o postoperatively, the rectification rat was 77.8%. The follow-up ranged 12 to 36 months, 12 patients of king type Ⅲ gained good segment bone fusion. The complications of pseudarthmsis, internal fixation loosening and fracture and broken compensation haven＇t been found. Three dimensiollal orthomorphia treatment of King type Ⅲ idiopathic scoliosis transthoracic anterolateral is a safe and effective method of internal fixation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第19期1448-1449,1452,共3页
Orthopedic Journal of China
