摘要
目的探讨"轻便头盆环"牵引联合截骨术在重度脊柱畸形治疗中的作用。方法分析我院2004年3月～2009年3月间手术前接受轻便头盆环牵引治疗后再行截骨矫形术的46例重度脊柱畸形患者的手术及随访情况。结果 40例获得随访,随访2～4年,术后身高、矢状面失衡、Cobb′s角均得到明显改善,术后平均Cobb′s角26.5°,平均矫正率为71.5%。截骨断端愈合良好,平均矫正率不丢失。结论头盆环牵引能持续、缓慢地拉直脊柱,使软组织得到逐渐延长蠕变松解,联合截骨术为重度脊柱畸形矫正奠定了成功的基础和安全保障。
Objective To investigate the treatment of severe spinal deformity with Halo-pelvic distraction,total spinal osteotomy and internal fixation.Methods 46 cases with severe spinal deformity had been treated by this method from March,2004 to March,2009,including 16 hypnosis,30 kyphoscoliosis.A slowly Halo-pelvic distraction make the severe curve change into the light curve,so that the internal fixation can be easy implanted.Results 40 patients were followed up for 2～4 years.All patients were cured and instrumentations were not loose and broken.After operation,the height,unbalance of sagittal plane,Cobb′s angle ameliorate obviously.The average cobb＇s angle is 26.5°,the correction rate is 71.5%.The osteotomy terminate had solid osseous unions.Conclusion Halo-pelvic distraction and total spinal osteotomy is a very effective and safe procedure for treat with severe spinal deformity.The method of correcting spinal deformity with Halo-pelvic distraction in preoperation and internal fixation is more satisfied than pure internal fixation because the distraction can relax the stiff or severe curve and stretch the spine.
出处
《新疆医科大学学报》
CAS
2011年第5期536-539,共4页
Journal of Xinjiang Medical University
关键词
脊柱畸形
牵引术
手术
spinal deformity
halo-pelvic distraction
operation
