儿童严重脊柱侧凸的生长阀双棒内固定治疗  

Growth in fixed techniques for the treatment of children thrown serious of scoliosis preliminary

作　　者：伊斯拉木.牙森 张旭[1] 车立新[1] 李坤[1] 

机构地区：[1]新疆维吾尔自治区人民医院骨科,新疆乌鲁木齐830000

出　　处：《中国医药导报》2012年第32期81-83,共3页China Medical Herald

摘　　要：目的探讨早发的儿童严重脊柱侧凸采用生长阀双棒内固定治疗的临床疗效。方法选择2006年11月-2011年3月我科收治入院的早发的严重脊柱侧凸儿童10例临床资料进行回顾性分析,10例患儿中9例采用lsola生长阀固定,1例采用TSRH生长阀固定;撑开1-4次,平均1.8次;随访10-24个月,平均（15.2±2.5）个月。结果术前主弯Cobb角（67.64±11.43）°,胸后凸（31.00±22.40）°,躯干偏移（2.00±1.43）cm,T1-S1高度（25.47±6.16）cm;初次术后主弯Cobb角（34.64±8.26）°,胸后凸（23.00±8.06）°,躯干偏移（1.49±1.21）cm,T1-S1高度（28.84±5.69）cm;末次术后主弯Cobb角（36.82±11.76）°,胸后凸（27.18±8.97）°,躯干偏移（1.11±0.29）cm,T1-S1高度（31.29±4.50）cm。术前、初次术后和末次术后主弯侧凸角比较差异有统计学意义（P〈0.05）。初次手术矫正率（47.15±16.48）%,T1-S1高度增加（3.37±1.62）cm;末次手术矫正率（44.73±19.43）%,T1-S1高度增加（5.82±2.21）cm。治疗期间T1-S1每年平均生长1.6 cm（1.1-2.7 cm）。5例出现并发症（3例脱钩,1例椎弓根螺钉脱出,1例断棒）。结论生长阀双棒内固定技术允许脊柱纵向生长,同时起到矫形和控制畸形发展的作用,但术后并发症发生率较高。Objective To evaluate the growth in fixed techniques for the treatment of thrown early onset of children of sco liosis preliminary application results.Methods From November 2006 to March 2011 line growth within the fixed techniques for the treatment of children thrown scoliosis 10 cases were retrospective analyzed,9 cases by the lsola growth valve fixed,1 cases by the TSRH growth valve fixed.Open 1-4 times,an average of 1.8 times.Patients were followed up for 1024 months,an average of（15.2±2.5） months.Results The Cobb bending angle before was（67.64±11.43）°,the bosom of the protruding after was（31.00±22.40）°,trunk migration was（2.00±1.43） cm,T1-S1 height was（25.47±6.16） cm;the first postoperative Cobb bending angle was（34.64±8.26）°,the bosom of the protruding after was（23.00±8.06）°,trunk migration was（1.49±1.21） cm,T1-S1 height was（28.84±5.69） cm;the end time after bending angle lord Cobb was（36.82±11.76）°,the bosom of the protruding after was（27.18±8.97）°,trunk migration was（1.11±0.29） cm,T1-S2 height was（31.29±4.50） cm.Preoperative and postoperative,first time after the end time lord bending side protruding angle comparing statistical signifi cance（）.Primary surgical correction rate was 47.15%-16.48%,T1-S1 highly increase（3.37±1.62） cm;the end time surgical correction rate was 44.73%-19.43%,T1-S1 highly increase（5.82±2.21） cm.During treatment T1-S1 in a year on average 1.6 cm growth（1.1-2.7 cm）.5 complications（3 cases decoupling,1 case pedicle screws emerge,1 case broken rod）.Conclusion The growth in fixed technology allows thrown spinal longitudinal growth and can also act as an orthopaedic and control the development of deformity function,but the incidence rate of postoperative complications are higher.

关 键 词：儿童 早发 脊柱侧凸 生长阀双棒 内固定 

分 类 号：R682.3[医药卫生—骨科学]