先天性脊柱侧凸伴截瘫的治疗  

Treatment of congenital scoliosis associated with paraplegia

作　　者：王殿臣[1] 胡贵新[1] 王林 徐丽 

机构地区：[1]河北省职工医学院附属医院骨科

出　　处：《临床骨科杂志》1998年第1期60-62,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨２例脊柱侧凸致截瘫原因及治疗方法。方法例１行侧前方椎管减压同时切除后凸椎体后缘，凹侧哈氏棒矫形并植骨融合。例２首先经胸修补膨出的硬脊膜，再行Ｕ型棒矫形术。结果脊柱矫形术后侧凸畸形分别为Ｃｏｂｂ角５°，２０°，神经症状完全消失。结论对脊柱侧凸合并截瘫。Objective To study the cause of paralysis of congenital scoliosis associated with paraplegia and its effective treating method. Methods One case was treated by reducing the pressure in the front of vertebral canal, cutting the posterior border of posterior prominence, and then putting Has stick on the fovea side and transplanting bones at the same time. The extended dura mater spinalis was repaired firstly through chest and conducted “U” type orthomorphia for another case. Results The nerve functions were recovered completely after the spinal orthomorphia, and the Cobbs angles of lateral fovea were 5° and 20° respectively. Conclusion Spinal orthomorphia combined with reducing the pressure in the vertebral canal is an effective way to treat congenital scoliosis associated with paraplegia.

关 键 词：先天性脊柱侧凸 截瘫 外科手术 治疗 

分 类 号：R682.305[医药卫生—骨科学]