先天性脊柱侧凸的外科治疗进展  

Progress in surgical treatment of congenital scoliosis

作　　者：周晋驹 丰干钧[1] 刘立岷[1] 宋跃明[1] ZHOU Jinju;FENG Ganjun;LIU Limin;SONG Yueming(Department of Orthopedics/Orthopedic Research Institute,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院骨科/骨科研究所,成都610041

出　　处：《华西医学》2021年第10期1321-1326,共6页West China Medical Journal

基　　金：国家自然科学基金(81772397)。

摘　　要：先天性脊柱侧凸指椎体先天性发育畸形导致脊柱向侧方弯曲,脊柱侧凸畸形常呈进行性发展,手术治疗是非常重要的治疗方式。手术方式主要包括单纯融合术、半椎体切除术、生长棒技术及纵向可撑开型人工钛肋技术,但是手术方式的选择及手术时机尚无统一标准。该文对先天性脊柱侧凸的不同外科治疗方法进行综述,介绍了先天性脊柱侧凸的分类,阐明了不同外科治疗方式的手术时机、优势及不足,旨在为针对先天性脊柱侧凸患者制定个体化的最佳手术方案提供参考。Congenital scoliosis is the presence of a sideways curvature of the spine caused by the failure of normal vertebral development.Congenital scoliosis is usually progressive,and surgical treatment is crucial for the treatment of congenital scoliosis.Surgical treatments of congenital scoliosis mainly include simple fusion surgery,hemivertebrae excision,growing rods technique,and vertical expandable prosthetic titanium rib.However,there is no uniform standard for the selection of surgical techniques and surgical timing.This article reviews the progress of different surgical treatments for congenital scoliosis,introduces the classification of congenital scoliosis,and clarifies the timing,pros and cons of different surgical techniques,aiming to provide a reference for the development of individualized optimal surgical plans for patients with congenital scoliosis.

关 键 词：先天性脊柱侧凸 半椎体切除术 生长棒 外科治疗 

分 类 号：R687.3[医药卫生—骨科学]