后路选择性双侧交替置钉钉棒矫形内固定治疗青少年脊柱侧凸  

Selective posterior bilateral screw rod orthopaedics fixation for treatment of adolescent scoliosis

作　　者：程昌志[1] 李贵谦[1] 何少康[1] 林舟丹[1] 

机构地区：[1]解放军第303医院骨科,广西壮族自治区530021

出　　处：《脊柱外科杂志》2015年第2期71-74,共4页Journal of Spinal Surgery

摘　　要：目的探讨青少年脊柱侧凸的最佳手术治疗方法。方法分析2008年4月~2012年3月本院收治的11例青少年脊柱侧凸病例临床资料,11例患者均采用后路选择性双侧交替置钉或椎板钩、钉棒系统矫形内固定术进行手术治疗,对术前、术后脊柱侧凸、胸椎后凸、腰椎前凸Cobb角进行统计学分析。结果侧凸Cobb角术前、术后及末次随访时分别为58.36°±14.34°、23.27°±8.47°及28.82°±12.34°,侧凸Cobb角术前与术后及末次随访比较,差异均具有统计学意义（P〈0.01）;胸椎后凸、腰椎前凸Cobb角术前与术后、术前与末次随访、术后与末次随访相比,差异均无统计学意义（P〉0.05）。结论单纯后路选择性双侧交替置钉、钉棒系统矫形内固定治疗青少年脊柱侧凸安全、经济,适合于普通医院开展。Objective To investigate the best operation method of adolescent scoliosis. Methods From April 2008 to March 2012, 11 cases of adolescent scoliosis were treated by selective bilateral pedicle or hook, screw rod system inner fixation. Preoperative and postoperative thoracic kyphosis, scoliosis, lumbar lordosis Cobb＇ s angle were analyzed statistically. Results With an average of scoliosis Cobb＇ s angle of preoperation, postoperation and final follow-up were 58.36° ± 14.34°, 23.27°± 8.47 o and 28.82° ± 12.34°, respectively. Compared to preoperation, the Cobb＇ s angle of postoperation and final follow-up had significant difference （P 〈 0.01 ） ; thoracic kyphosis and lumbar lordosis Cobb＇ s angle of preoperation, postoperation and final follow-up showed no significant difference （P 〉 0. 05 ）. Conclusion Selective posterior bilateral pedicle screw and orthopedic internal fixation for the treatment of adolescent scoliosis is a safe, reliable, economical and practical method, suitable for general hospital.

关 键 词：青少年 脊柱侧凸 内固定器 截骨术 

分 类 号：R726.823[医药卫生—儿科]