早期半椎体切除Apofix椎板钩加压固定治疗小儿完全分节型半椎体畸形  

Early hemivertebractomy and correction with Apofix instrumentation for hemivertebra deformity in children

作　　者：熊斌[1] 任德胜[1] 吴欣乐[1] 易申德[1] 

机构地区：[1]江西省儿童医院骨科,南昌市330006

出　　处：《中国矫形外科杂志》2005年第21期1620-1622,共3页Orthopedic Journal of China

摘　　要：[目的]介绍早期半椎体切除Apofix椎板钩加压固定治疗小儿完全分节型半椎体畸形的手术方法并对其治疗效果进行评价。[方法]对5例先天性完全分节型半椎体畸形患儿的治疗经过及结果进行回顾性随诊分析。[结果]5例半椎体均切除充分,术后侧凸和后凸Cobbs角较术前平均减少12.5°。随访8个月～2a6个月,侧凸和后凸畸形矫正满意。[结论]早期半椎体切除并Apofix椎板钩加压固定是治疗小儿非对称性完全分节型半椎体畸形简单有效的方法。[ Objective] To investigate the treatment of fully segmented and unincarerated hemivertebra deformity in children with early hemivertebractomy and correction with Apofix instrumentation. [ Method] The surgical procedure and result of 5 cases of fully segmented and unincarerated hemivertebra treated with hemivertebractomy and correction with Apofix instrumentation were analyzed. [ Result] The postoperative follow-up to the 5 patients （ including 6 hemivertebrae） ranged from 4 to 30 months. The hemivertebrae were excised enough in all cases. The mean Cobb＇s angle relieved 12.5. [ Conclusion] Early hemivertebractomy and correction with Apofix instrumentation is an effective therapeutic method for children＇s congenital scolissis resuiting from fully segmented and unincarcerated hemivertebra deformity.

关 键 词：先天性脊柱畸形/半椎体 半椎体切除术 Apofix装置 APOFIX椎板钩 半椎体畸形 椎体切除 固定治疗 加压固定 小儿 早期 

分 类 号：R726.8[医药卫生—儿科]