King Ⅱ型特发性脊柱侧凸的手术治疗  

The surgical correction of adolescent idiopathic scoliosis King type Ⅱ

作　　者：李明[1] 陈强[1] 倪春鸿[1] 侯铁胜[1] 朱晓东[1] 王善松[1] 赵新刚[1] 刘洋[1] 

机构地区：[1]第二军医大学附属长海医院骨科,上海市200433

出　　处：《中国脊柱脊髓杂志》2004年第7期391-394,共4页Chinese Journal of Spine and Spinal Cord

基　　金：国家自然科学基金(30271440);上海市科技启明星跟踪计划基金(2002QB1403)

摘　　要：目的:探讨KingⅡ型特发性脊柱侧凸的手术治疗效果.方法:将37例KingⅡ型脊柱侧凸分为两组,A组12例为KingⅡA型,行选择性胸椎融合;B组25例为KingⅡB型,行胸腰弯融合.手术均采用中华长城系统经后路矫形固定.结果:随访24～50个月,A组胸弯平均矫正率79.1%,腰弯矫正率71.4%,有2例发生躯干失平衡;B组胸弯平均矫正率70.8%,腰弯矫正率73.5%,1例发生躯干失平衡.结论:KingⅡA型行选择性胸弯融合,KingⅡB型融合胸腰弯,可获得良好的临床效果.Objective:To prospectively evaluate the results of surgical treatment of King typeⅡadolescent idiopathic scoliosis(AIS).Method:Thirty-seven patients with AIS were prospectively divided into2groups.12pa-tients in Group A were treated with selective thoracic fusion and25patients in Group B were treated with fusion in both thoracic and lumbar curves.Result:All patients were followed up in an average of34(24~50)months.The correction rate for Group A was79.1%in thoracic curve and71.4%in lumbar curve with two patients developed trunk imbalance.The correction rate for Group B was70.8%in thoracic curve and73.5%in lumbar curve with one patient developed trunk imbalance.Conclusion:Satisfactory clinical outcome of surgi-cal treated KingⅡAIS can be achieved by doing selective thoracic fusion in KingⅡA or fusing both tho-racic and lumbar curves in KingⅡB.

关 键 词：特发性脊柱侧凸 融合节段 三维矫形 King—Moe分型 

分 类 号：R682.3[医药卫生—骨科学]