脊柱侧凸的后路器械矫正  

The Correction of Scoloisis with Posterior Instrumentation

作　　者：冯德炎[1] 张沪生[1] 沈才伟[1] 张伟滨[1] 龚跃成 

机构地区：[1]上海第二医科大学附属瑞金医院骨科,上海市伤骨科研究所

出　　处：《上海第二医科大学学报》1996年第6期384-386,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：自１９８３年４月至１９９６年４月应用后路器械矫正脊柱侧凸畸形１５０例。特发性脊柱侧凸占１２８例。先期８２例采用Ｈａｒｒｉｎｇｔｏｎ撑开，Ｌｕｑｕｅ法或Ｈａｒｒｉｎｇｔｏｎ加Ｌｕｑｕｅ结合法。自１９９２年以来６８例选用Ｃ－Ｄ器械矫正２０例，Ｈａｒｒｉｎｇｔｏｎ撑开加棘突基部钢丝环扎２６例，Ｈａｒｒｉｎｇｔｏｎ撑开加椎板下钢丝环扎２２例，其平均矫正率分别达６７．４０％，６２．７４％和６５．９０％，效果满意。作者主张应早期手术，条件合适者首选Ｃ－Ｄ器械矫正。为获得畸形永久的稳定，关键是确实牢固的脊柱融合。One hundred and fifty cases of scoliosis were treated by spinal posterior instrumentation from April,1983 to April,1996.In this group, most of the patients(128/150) were idiopathic. Primarily 82 cases were corrected with the Harrington rod. Luque segmental spinal instrumentation or both Harrington and Luque rod. Since 1992,68 cases had been corrected, in which 20 cases were by Cotrel-Dubousset(C-D) instrumentation,26 cases by Harrington distraction rod and base of spinous processes wires,22 cases by Harrington distraction rod and sublaminar wires.The correction rate of scoliosis in average was 67.40%.62.74%and 65.90%,respectively. Satisfactory results were obtained in all of these cases. In this article, the earlier operation was suggested. If its indications were optimized, the C-D instrumentation was the first selection. In order to achieve the permenant correction, the sound spinal arthrodesis was the highlight.

关 键 词：脊柱侧凸 后路 C-D器械 手术矫正 骨科器械 

分 类 号：R682.305[医药卫生—骨科学] R687.3[医药卫生—外科学]