VIDEO-ASSISTED THORACOSCOPIC CORRECTION AND FUSION OF SCOLIOSIS  

作　　者：Bin Yu Jian-guo Zhang Gui-xing Qiu Yi-peng Wang Xin-yu Yang 

机构地区：[1]Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences ＆ Peking Union Medical College, Beijing 100730

出　　处：《Chinese Medical Sciences Journal》2007年第3期144-151,共8页中国医学科学杂志（英文版）

摘　　要：Objective To evaluate the operative technique and preliminary results of video-assisted thoracoscopic anterior correction and fusion of scoliosis. Methods Eleven cases underwent thoracoscopic anterior correction and fusion of scoliosis from March 2003 to April 2005 in our hospital were reviewed. They were all females with an average age of 13.1 years old. Of which, 9 cases were idiopathic scoliosis, 1 case was congenital scoliosis, and 1 case was Marian syndrome scoliosis. The coronal Cobb angle and apical vertebral translation before and after surgery as well as at final follow-up were measured. The operation time, blood loss during operation, and peri-operative complications were recorded. The mean operation time was 6. 4 hours, mean instrumented vertebrae were 6.4 segments, and mean blood loss during operation was 364 mU The coronal Cobb angles of the thoracic curve before and after surgery were 45.5° and 15.4° respectively, with an average correction rate of 65.4%. The lumbar curve was corrected from 28.4° to 11.8° , with an average simultaneous correction rate of 57.2%. All of the patients were followed up regularly with an average time of 21.4 months. At the final foUow-up, the coronal Cobb angles of the thoracic and lumbar curves were 19.0° and 20. 1° , with a 3.6° and 8. 3° loss of correction, respectively. The apical vertebral translation was improved from 32. 3 mm to 10.5 mm for the thoracic curve, and from 13.1 mm to 8.2 mm for the lumbar curve. There were 6 cases with peri-opemtive complications, including 1 case of thoracic effusion, 1 case of chylothomx, 1 case of locking plug loosing, 2 cases of aggravation of the unfused lumbar curve （ 1 case also with thoracolumbar kyphosis）, and 1 case with a screw tip causing a contour deformity of the aorta. And 4 of them underwent revision surgery.Conclusions Video-assisted thoracoscopic anterior correction and fusion of scoliosis has good correction capability, less intraoperative bleeding, and favorable cosmetic effect for mild and moderate thor

关 键 词：SCOLIOSIS anterior fusion THORACOSCOPY intemal fixation 

分 类 号：R681.5[医药卫生—骨科学]