头环重力牵引治疗脊髓性肌肉萎缩症性脊柱侧凸的临床疗效分析  

The Analysis of Clinical Efficacy of Halo Gravity Traction on the Treatment of Spinal Muscular Atrophy Tyndrome Scoliosis

作　　者：于潼[1] 张智海 张振南[2] 李玉彬[1] 韩菲 YU Tong;ZHANG Zhihai;ZHANG Zhennan;LI Yubin;HAN Fei(Department of Orthopedicst,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Medical Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院骨科,北京100053 [2]中国中医科学院广安门医院医务处

出　　处：《中国中医骨伤科杂志》2023年第6期56-60,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:分析Halo头环重力牵引在脊髓性肌肉萎缩症性脊柱侧凸患者中的临床疗效。方法:回顾性分析2019年8月至2022年3月,因脊髓性肌肉萎缩症性脊柱侧凸住院,行Halo头环重力牵引治疗的患者,对患者牵引前后坐高变化、牵引时长、胸闷改善情况、体重变化情况、是否进行2期矫形手术等相关指标分析总结。结果:共纳入16例脊髓性肌肉萎缩症性脊柱侧凸患者,牵引后坐高增加(6.44±1.79)cm,体重增加(3.38±1.63)kg,牵引时长为(8.56±4.29)个月,6例(37.5%)患者在牵引后行二期矫形手术,16例患者胸闷情况得到改善,视觉模拟量表(VAS)呼吸困难评分减低(2.50±1.21)分。性别、脊髓性肌肉萎缩症分型、年龄及牵引时长等因素对牵引后坐高影响差异无统计学意义(P=0.29,0.85,0.46,0.08)。结论:通过Halo头环重力牵引可减轻脊髓性肌肉萎缩症脊柱侧凸患者脊柱畸形,改善心肺功能,增加侧凸周围软组织柔韧度,减少脊柱畸形对脊髓的压迫,操作安全可靠,可为二期内固定矫形手术做好前期准备。Objective:To investigate the clinical efficacy of Halo gravity traction in patients with spinal muscular atrophy(SMA)syndrome scoliosis.Methods:The patients who were hospitalized with Halo head ring gravity traction for SMA syndrome scoliosis from August 2019 to March 2022 were retrospectively analyzed.The changes of sitting height before and after traction,traction duration,improvement of chest tightness,weight change,whether to undergo stage-2 orthopaedic surgery and other related indicators were analyzed and summarized.Results:A total of 16 patients with SMA scoliosis were included.After traction,the sitting height increased by(6.44±1.79)cm,the weight increased by(3.38±1.63)kg,and the traction duration was(8.56±4.29)months.6 patients(37.5%)underwent two-stage orthopedic surgery after traction,the chest tightness was improved in all 16 patients,visual analogy scale(VAS)dyspnea score decreased by(2.50±1.21)points.Gender,SMA classification,age and traction duration on sitting height after traction had no significant difference(P=0.29,0.85,0.46,0.08).Conclusion:Halo head ring gravity traction can reduce spinal deformations in patients with SMA scoliosis,improve cardiopulmonary function,increase the flexibility of soft tissue around scoliosis,and reduce the compression of spinal cord by spinal deformations.The operation is safe and reliable,which can make preparations for two-stage internal fixation orthopaedic surgery.

关 键 词：重力牵引 脊髓性肌肉萎缩症 脊柱侧凸 

分 类 号：R685[医药卫生—骨科学]