内固定物置入分期矫形治疗重度僵硬脊柱侧凸  

Three-stage installment correction for severe rigid scoliosis

作　　者：龙智生[1] 陈钢[1] 陈宗和[1] 李洪波[1] 喻惜华[1] 肖裕华[1] 龚飞鹏[1] 李宇旭[1] 唐智明[1] 李建飞[1] 

机构地区：[1]江西省人民医院骨一科,江西省南昌市360000

出　　处：《中国组织工程研究》2013年第43期7527-7533,共7页Chinese Journal of Tissue Engineering Research

摘　　要：背景:重度脊柱侧凸是目前临床治疗的难点,目前研究表明分期矫形治疗是一种安全有效的治疗手段。目的:分析分期矫形在治疗重度脊柱侧弯中的疗效。方法:对10例重度僵硬的脊柱侧凸分期矫形治疗进行回顾性分析,平均年龄12岁。冠状面Cobb角110°-180°,平均140°,矢状位后凸Cobb角50°-100°,平均75°,均采用1期前路松解,2期行Halo-plevic环牵引,3期后路截骨矫形内固定物治疗。结果与结论:所有病例均顺利完成手术治疗,无严重并发症发生,1期前路松解及2期牵引治疗术后冠状位Cobb角平均90°,矫正率为35.7%,矢状位Cobb角50°,矫正率为33.3%;3期截骨矫形后冠状位Cobb角平均40°,矫正率为71.4%,矢状位Cobb角35°,矫正率为53.3%。结果说明对于重度僵硬脊柱侧凸畸形,分期矫形治疗是有效安全的治疗手段。BACKGROUND：The treatment of severe rigid idiopathic scoliosis is the difficulty of clinical treatment. The studies in recent years have shown that the three-stage correction is a safe and effective treatment method. OBJECTIVE：To explore the efficacy of three-stage correction in the treatment of severe rigid scoliosis. METHODS：Retrospective analysis was performed on 10 severe rigid scoliosis patients undergoing three-stage correction, the mean age of the patients was 12 years. The average Cobb angle in the coronal plane was 140° （ranged 110°-180°）, the average Cobb angle in the sagittal plane was 75° （ranged 50°-100°）. The treatment was divided three stages：anterior release, Halo-plevic traction and third step with posterior osteotomy and fixation. RESULTS AND CONCLUSION：Al of the patients underwent the surgery safely without severe complications. After anterior release and Halo-plevic traction, the Cobb angle in the coronal plane was 90°, and the mean correction rate was 35.7%;the Cobb angle in the sagittal plane was 50° with correction rate of 33.3%. The mean Cobb angle in the coronal plane was 40° with the correction rate of 71.4%after osteotomy, and the Cobb angle in the sagittal plane was 35° with the correction rate of 53.3%. The results show that three-stage correction is a safe and effective method for the treatment of severe rigid scoliosis.

关 键 词：假体和植入物 脊柱侧凸 牵引术 截骨术 

分 类 号：R318[医药卫生—生物医学工程]