后路脊柱侧凸矫正术的新探索──15例初步报告  

AN INNOVATED POSTERIOR INSTRUMENTATION FOR TREATMENT OF SCOLIOSIS

作　　者：蒋化龙[1] 刘海鹰[1] 刘文斌[1] 傅中国[1] 赫崇春 易斌[1] 

机构地区：[1]北京医科大学人民医院骨科

出　　处：《北京医科大学学报》1994年第2期106-108,共3页Journal of Peking University(Health Sciences)

摘　　要：采用经椎弓根螺钉及撑开棍与压缩棍方式治疗脊柱侧凸１５例，术前侧凸度数Ｃｏｂｂ３７℃１１０°，平均６９．１°。椎弓根固定范围７～１６节，平均１２．３节；最高固定节段为Ｔ。手术后侧凸度数Ｃｏｂｂ９°～３０°，平均１２．８°。侧凸矫正率５３．３％～８５．７％，平均７１．９％。经椎弓相撑开（或加压缩）矫正率高，固定可靠，克服了目前常用方法的缺点；突破了胸－９以上不能用椎弓根钉的限制，是一种较理想的脊柱矫形内固定方法。The posterior spinal intrumentation for the treatment of scoliosis was widely and successful used for many decades.These system ,however,is not without its disadvantages,such as hook dislodged,rod breackage,fracture of purchase sites and dural,nerve root and spinal cord injury.and so on. From l988 to l993, an innovated transpedicular distraction- compression instrumentation system,which developed and reported previousely by the first author(J H ),was performed on l5 cases of scoliosis.Eight of them suffered from idiopathic scolicsis and seven from congenetal scoliosis Degrees of preoperative curvature were from 37 to 110 degrees of Cobb with an average of 67.4 degrees.Po- stoperative curvature degrees were 9 to 30 degrees with a mean of l2. 8 degrees.The average rate of correction was 71.9%. The number of segmental level was from 7 to l6 with an average of l2.3 se- gments,The highest one was T-1.The average period of follow- up obscrvation was 26 months The results were satisfactory. The transpedicular distraction- compresstion instrumentation system provides a powerfull three-deme- ntional correction of scoliosis with a rigid fixation,higher corrective rate and less complications.

关 键 词：椎根弓 脊柱固定术 脊柱侧凸 

分 类 号：R682.3[医药卫生—骨科学]