儿童颈椎后凸畸形的手术治疗  

Surgical corrections of cervical kyphosis in children

作　　者：刘虎[1] 李承鑫[1] Liu Hu;Li Chengxin(Department of Orthopedics,Affiliated Children's Hospital&National Children's Medical Center,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院骨科,北京市100045

出　　处：《临床小儿外科杂志》2021年第7期673-676,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的分析手术治疗儿童颈椎后凸畸形的疗效,探讨儿童颈椎后凸畸形的手术治疗策略。方法以2014年2月至2019年2月在首都医科大学附属北京儿童医院接受手术治疗的7例颈椎后凸畸形患者为研究对象,其中男3例,女4例;年龄2.4~11.4岁,平均(5.0±3.1)岁。先天性颈椎后凸畸形4例,结核性颈椎后凸畸形1例,椎管内肿瘤手术后颈椎后凸畸形2例。测量及记录所有患者手术前、手术后及末次随访时颈椎畸形节段的后凸角。结果治疗前颈椎后凸角为(62.8±30.8)°,术后为(14.3±9.2)°,颈椎后凸矫正率为(77.1±12.2)%。末次随访时颈椎后凸角为(16.6±9.8)°。结论对于存在颈椎后凸畸形的患者,行前路或前后路联合矫形内固定融合手术可取得良好的治疗效果。Objective To explore the curative effect of surgical correction and explore the surgical treatment strategies for children with cervical kyphosis.Methods From February 2014 to February 2019,a total of 7 children with cervical kyphosis undergoing operations were retrospectively analyzed.There were 3 boys and 4 girls with an average age of(5.0±3.1)(2.4-11.4)years.The causes were congenital cervical kyphosis(n=4),tuberculous cervical kyphosis(n=1)and cervical kyphosis after intraspinal tumor surgery(n=2).The cervical kyphosis angles were recorded pre-and post-operation and at the last follow-up.Results The cervical kyphosis angle was corrected from(62.8±30.8)°pre-treatment to(14.3±9.2)°post-operation with an average correction rate of(77.1±12.2)%.At the last follow-up,the kyphosis angle of cervical spine was(16.6±9.8)°.Conclusion Anterior or anterioposterior combining internal fixation and fusion may achieve excellent outcomes for children with cervical kyphosis.

关 键 词：颈椎/畸形 脊柱后凸/外科学 治疗结果 

分 类 号：R726.815.31[医药卫生—儿科] R726.12[医药卫生—临床医学]