后路半椎体切除钉棒系统内固定治疗先天性脊柱后凸  

Hemivertebra resection via posterior approach and transpedicular intra-fixation for correction of congenital kyphosis

作　　者：陈君生[1] 朱大成[1] 刘学义[1] 高建伟[1] 梁兴平[1] 

机构地区：[1]88医院骨一科,山东泰安271000

出　　处：《实用医药杂志》2009年第4期3-5,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的评价后路半椎体切除钉棒系统内固定治疗先天性脊柱后凸畸形的疗效。方法采用后路半椎体切除或椎体截骨经椎弓根内固定术治疗3例患者,术后支具固定6～12个月,通过对比术前术后X线片评估患者躯干平衡和失代偿情况。结果术前后凸Cobb角平均102°,术后为21°,3个月后为23°,所有患者外形正常,躯干平衡良好,未发现失代偿现象。结论对先天性脊柱后凸畸形进行后路半椎体切除或截骨椎弓根钉棒矫形可矫正和控制冠状面和矢状面畸形。Objective To assess curative effects of hemivertebra excision with transpedicular instrument for the congenital kyphosis. Method The 3 cases were managed surgically with ＇hemivertebra excision posterioroly and transpedicular instrumentation. Holo-vest were applied in each patients .for 6-12, mopths postoperatively according to radiographic demonstration and clinical examination. The status of trunk balance and deeompensation were evaluated. Result Mean cobb angle of the main curve was 102° before operation, 21° after operation, and 23° later 3 monthes after operation. Trunk imbalance or deeompensation were not found in this study. Conclusion Posterior resection of the hemivertebra and fixation with transpedicular screw is suibable to treat congenital kyphosis and could obtain excellent correction and control kyphosis in the frontal and saggital planes.

关 键 词：先天性脊柱后凸 脊柱畸形 半椎体切除 椎弓根螺钉 

分 类 号：R882.3[医药卫生—临床医学]