楔形三柱截骨术联合短节段椎弓根内固定系统治疗脊柱后凸畸形  

SURGICAL TREATMENT OF SPINAL KYPHOSIS WITH WEDGED THREE-COLUMNIATION-OSTEOTOMY AND SHORT SEGMENT PEDICLE SCREW FIXATION SYSTEM

作　　者：杨学军[1] 霍洪军[1] 肖宇龙[1] 赵岩[1] 邢文华[1] 

机构地区：[1]内蒙古医学院第二附属医院脊柱外科,内蒙古呼和浩特010030

出　　处：《内蒙古医学院学报》2006年第3期170-173,共4页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自然科学基金项目(200508010908)

摘　　要：目的：探讨治疗各种原因引起的脊柱后凸畸形的有效治疗方法。方珐：采用后路楔形三柱截骨联合AF内固定系统手术治疗14例脊柱后凸畸形。其中男10例、女4例；结核性后凸9例，骨折继发性后凸3例，发育性后凸2例。平均后凸角（Cobb’s）71．08°。结果：所有病人安全完成手术，无脊髓和神经根损伤等并发症，手术平均矫正率为57．97％，随访6～28mo，融合效果满意，脊髓神经根功能明显改善。结论：对于不同原因脊柱后凸畸形的手术治疗，楔形三柱截骨术能够较好地重建脊柱的稳定性，解除脊髓神经根的压迫和牵张；采用AF内固定系统矫形固定，创面小，固定节段短，安装简便，用机械的力量缓慢渐进地矫形，疗效满意，并发症少。Objective ： To evaluate the treatment Methods： 14 cases of spinal kyphosis were treated by pedicle screw system fixation through posterior proced of spinal kyphosis caused by different reasons. wedged three - columniation - osteotomy and AF ure. There were 10 male and 4 female with an average preoperative kyphosis of 71.08 degree. There were 9 cases of tuberculous kyphosis, 3 cases of post - traumatic kyphosis and 2 cases of developmental kyphosis. Results： All patients underwent surgery safely and no severe complications occurred. The average correction of kyphosis was 57.97%. Postoperative follow up was ranged from 6 to 28 months, solid fusion was obtained. Obvious improvement was obtained in cases with neurological dysfunction. Conclusion：To treat the spinal kyphosis, wedged three - columniation - osteotomy can obtain adequate decompression and reconstruction of the spine. Internal fixation with AF pedicle screw system is a safe, straightforword and reliable technique which using controllable correction .

关 键 词：脊柱后凸 截骨术 内固定 

分 类 号：R682.3[医药卫生—骨科学]