脊柱侧凸的Harrington加节段椎板下钢丝矫正  

TheTreatmenofScoliosiswithHarrinton'sDistractionRodandSublaminarWires

作　　者：刘兴民 田慧中 项泽文 吴杰 

机构地区：[1]新疆建工医院脊柱外科研究所

出　　处：《中华骨科杂志》1996年第2期76-79,共4页Chinese Journal of Orthopaedics

摘　　要：作者报告从１９８３年应用Ｈａｒｒｉｎｇｔｏｎ加节段椎板下钢丝矫正术治疗脊柱侧凸３１０例，其临床疗效满意．特发性侧凸２５０例，先天性５８例，麻痹性２例，其中８３例合并有大于５０°的后凸，平均椎板下钢丝固定４．６节．术前侧凸平均９２．５°，术后平均４１．３°，平均矫正５５．３５％，后凸畸形矫正平均达３４．５％，身高平均增加６．８ｃｍ．随访１年以上１４３例．除４例外均骨质融合良好．此方法可用于椎板完整的脊柱侧凸矫正术．本方法设计生物力学合理，手术操作简单，融Ｈａｒｒｉｎｇｔｏｎ及Ｌｕｑｕｅ手术优点，增加了手术矫正度及内固定的稳定性．局部麻醉可有效的预防术中脊髓损伤．TherehundredandtencasesofscoliosiscorrectedwelwiththeuseofHarrington'sdis-tractionrodandsublaminarwiressince1983.Inthisgroupofpatientstherewere250casesofidiopathicscolisosis,58congenitalscoliosis.2paraplegicscoliosisand83caseshadkyphosisofmorethan50de-grees.Sublaminarwireswereusedinanaverageof4～6segments.Scoliosisaveragedto92.5degreespreoperativelyand41.3degreespostoperatively.Thecorrectionrateofscoliosisinaveragewas55.4%andthatofkyphosiswas34.5%.Thepatientswere6.8cmtalerafterthesurgery.Thefolow-uppe-riodwasmorethanoneyearin143cases.Alwerewelexcept4cases.Thismethodcanbeusedincor-rectionofalscoliosiswithcompletelaminaanditcombinestheadvantageofHarringtonandLuqueop-eration,whichincreasedthecorrectiondegreeandinternalstability.Thepre-operationtractioncanim-provethespinalflexibilityandthelocalanesthesiacaneffectivelypreventintraoperativespinalcordin-jury.

关 键 词：脊柱侧凸 加节段椎板 钢丝 外科手术 矫正 

分 类 号：R682.305[医药卫生—骨科学]