后路全脊椎截骨矫形手术器械的设计和临床应用(附1200例报告)  

Design and clinical application of whole vertebrae osteotomy instrumentation (WVOI) to correct spinal deformity through posterior incision——a report of 1200 cases

作　　者：高吉昌[1] 陈庆贺[1] 屈金良[1] 王正雷[1] 张承敏[1] 张文进[1] 张洁[1] 明晓宇[1] 

机构地区：[1]解放军第211医院骨科全军脊柱外科中心,哈尔滨市150080

出　　处：《中国矫形外科杂志》2006年第21期1608-1610,I0001,共4页Orthopedic Journal of China

摘　　要：[目的]研制一套专用于脊柱后凸、侧后凸畸形手术截骨矫形器械。[方法]该器械通过后方入路(常规器械切除脊椎后结构)经双侧椎弓根、椎体行楔形截骨,直到椎体前缘皮质下。[结果]使用该器械共手术矫正后凸及侧后凸畸形1 200例,最高截骨平面T9水平,单病例最多截骨达4处,平均截骨2处,一处椎体截骨时间平均30m in,出血约100 m l,术中脊髓和神经根保护安全。[结论]后路全脊椎截骨矫形器械具有截骨规范、手术时间短、术中出血少、脊髓和神经根保护安全、截骨创面对合紧密、利于截骨创面愈合等优点。适用于各种原因导致的脊柱后凸畸形截骨矫正手术,显著降低术中和术后并发症。[ Objective] To design a new kind of instrumentation specially to correct scoliosis and kyphoscoliosis. [ Method] Through posterior transpedieular and vertebrae, wedged osteotomy was continually performed until anterior substantia compacta of vertebrae. [ Result] More than l 200 patients with scoliosis or kyphoscoliosis were treated with WVOI. The highest ostentomied vertebrae was thoracic 9 and 4 levels were performed for 1 case （mean 2 levels） . The average time of osteotomy on one vertebrae was 30 rain with 100 ml blood loss. No spine and spinal root injury was detected during the operating procedure. [ Conclusion] Osteotomy with WVOI reduced operating time, blood loss, keep spine and spinal root safer during the operating procedure, It also made osteotomical plate fit well and prompted quick ossification. WVOI is an efficient instrumentation to correct kyphosis and kyphoscoliosis.

关 键 词：脊柱后凸畸形 后路全脊椎截骨 脊椎截骨专用组合器械 

分 类 号：R687.31[医药卫生—骨科学]