摘要
[目的]总结经腰椎椎弓根截骨结合内固定在AS脊柱后凸畸形矫正中的疗效和并发症。[方法]自1998年～2007年间采用经腰椎椎弓根截骨结合内固定对54例AS脊柱后凸畸形患者手术治疗。术后随访48例,随访6～36个月,平均15个月。测量术前和术后颌眉垂线角和后凸Cobb’s角度。针对姿势、视野和疼痛改善的程度对患者疗效进行评价,疗效分为:优、良、可、差。[结果]平均颌眉垂线角由术前59°矫正至术后16°,Cobb’s角度由术前43°矫正至术后11°。重心前移、双目视野、消化道和呼吸道症状也可得到明显改善。本组末次随访时,优45例(93.75%),良3例(6.25%),无疗效可、差病例。[结论]经腰椎椎弓根截骨结合内固定是AS脊柱后凸畸形安全有效的治疗手段,具有效果确切、操作简单、并发症少等优点。
[ Objective ] To retrospectively analyze efficacy and complications of lumbar transpedicular osteotomy combination pedicle screw system for correction of kyphosis in ankylosing spondylitis. [ Method] From Jan 1998 to Dec 2007, 54 patients of ankylosing spondylitis with kyphotic deformity were treated with surgery. Forty eight patients were followed up, and time was 6 to 36 months. Preoperative and postoperative Chin - brow vertical angle and Cobb＇s angle were measured. The outcome was evaluated according to pose correction, visual field improvement and back pain relief in follow - up. The results were divided into being excellent, good, fair and poor. [ Result] The mean Chin - brow vertical angle was corrected from preoperative 59° to postoperative 16°, and the Cobb＇s angle from 43° to 11°. All patients could walk with forward vision and sagittal balance and gait were improved significantly. The symptom of dyspepsia and respiratory limitation relieved. The excellent outcome was attained in 45 cases （93.75%） , the good in 3 cases （6. 25% ） . [ Conclusion] Lumbar transpedicular osteotomy combined with fixation of pediele screw system was a safe and effective method for treatment of kyphosis in ankylosing spondylitis.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第1期20-22,共3页
Orthopedic Journal of China
