特发性脊柱侧凸的手术治疗  

Surgical treatment of adolescent idiopathic scoliosis

作　　者：蔡奇勋[1] 张菁[1] 王晓林[1] 

机构地区：[1]上海第二医科大学附属新华医院小儿骨科,200092

出　　处：《中华小儿外科杂志》2001年第2期76-78,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨CD和TSRH技术治疗特发性脊柱侧凸的疗效。方法　回顾分析 1997年到 1999年 15例特发性脊柱侧凸的治疗 ,男 6例 ,女 9例 ,年龄 7～ 16岁 ,平均 11岁 ,其中用CD技术治疗 2例 ,用TSRH技术治疗 13例 ,随访 9～ 2 4个月 ,平均 16个月 ,术前Cobb角 41°～ 110°(平均6 9°) ,有 3例先行前路松解再行后路矫形融合。结果　术后冠状面平均矫正 5 1.0 % ,平均矫正丢失7° ,2例躯干失衡改善 ,3例矢状面异常矫正 ,没有神经并发症及假关节发生。Objective To investigate the effectiveness of posterior CD instrumentation and TSRH instrumentation for the treatment of idiopathic scoliosis.Methods 15 cases of idiopathic scoliosis treated between 1997 and 1999 were reviewed. 2 patients were treated with CD instrumentation. 13 patients were subject to TSRH instrumentation. 6 patients were male and 9 were female. The average age at the time of surgery was 11 years, with a range of 7 to 16 years. The average follow up was 16 months, with a range of 9 to 24 months. The preoperative curve in the coronal plane averaged 69 degrees,ranging from 41 to 110 degrees). 3 cases were treated with an anterior release followed by posterior spinal arthrodesis with instrumentation.Results The average correction of the curve in the coronal plane was 51 per cent in the immediate postoperative period. Follow up showed that correction loss averaged approximately 7 degrees. Trunk balance improved in 2 cases. Sagittal contour improved in 3 cases. No neurologic complications occurred. None of the patients developed pseudarthrosis.Conclusions Three dimensional correction of a scoliotic curve can be satisfactorily obtained by using CD instrumentation and TSRH instrumentation.

关 键 词：脊柱侧凸 矫形外科固定装置 外科手术 

分 类 号：R687.3[医药卫生—骨科学]