序贯矫形:一项简单可靠的脊柱矫形新技术  

Sequential correction: a reliable and simple technique for complex spine deformity

作　　者：朱泽章[1] 鲍虹达 刘臻[1] 邱勇[1] Zhu Zezhang;Bao Hongda;Liu Zhen;Qiu Yong(Department of Spine Surgery,Affiliated Drum Tower Hospital,Medical Sch ool of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院脊柱外科,210008

出　　处：《中华骨科杂志》2019年第20期1264-1267,共4页Chinese Journal of Orthopaedics

摘　　要：在此前提出的成人脊柱侧凸冠状面平衡分型的基础上,为避免术后冠状面失平衡的出现,进一步提出了序贯矫形的手术策略.脊柱畸形根据畸形的始动因素分为胸腰段或腰段畸形和腰骶段畸形,此两种畸形的手术处理顺序并不相同,但均为先处理始动因素后应用1根短棒进行矫形,然后对侧置入1根短棒进行局部矫形,最后再应用2根长棒调整平衡.应用这一手术策略可以明显降低成人脊柱侧凸术后冠状面失平衡的发生率,其矫形术后疗效相较于传统手术方案明显提高.Based on the coronal balance classification for adult spinal deformity established by our center,a new surgical technique for adult spinal deformity was further proposed,namely Sequential Correction.Spine deformity was classified as thora-columbar/lumbar type and lumbosacral type according to the driver of the deformity.A short rod was firstly installed to correct the driver,followed by another short rod installed on the other side,and two long rods were installed at last.The incidence of postoper-ative coronal imbalance was significantly reduced using sequential correction,and the correction rate was significantly improved compared with the traditional technique.

关 键 词：始动因素 脊柱畸形 手术策略 腰骶段 手术方案 脊柱矫形 胸腰段 调整平衡 

分 类 号：R68[医药卫生—骨科学]