头盆牵引及多根哈氏棒固定矫治重度脊柱侧凸  

Treatment of Serious Rigid Scoliosis by Halo-pelvic Traction and Multiple Harrington Rods Fixation

作　　者：文学俭[1] 韩树峰[2] 宁理宏 巩小明[1] 白浪[1] 

机构地区：[1]山西煤炭中心医院骨科,太原市030006 [2]山西医科大学附属一院骨科 [3]山西省第二人民医院骨科

出　　处：《中国矫形外科杂志》2003年第10期656-658,共3页Orthopedic Journal of China

摘　　要：目的 :探索一种安全有效的治疗重度僵硬性脊柱侧凸的方法。方法 :回顾分析应用头盆环装置缓慢牵引后 ,再分节段行多根Harrington棒支撑加椎板下 (或肋骨下 )钢丝矫形固定的 2 4例弯曲僵硬的脊柱侧凸患儿的临床资料 ,总结其治疗效果及 1年以上随访结果。结果 :术前侧凸Cobb角 72～ 15 1° ,平均 10 8.2° ;术后Cobb角 31.5～ 83 .3° ,平均 5 8.5° ;矫正率 39.4%～ 5 6 .3 % ,平均 46 .1%。经 1～ 9年随访 ,脱钩 1例 ;椎板下钢丝疲劳断裂 1例 ( 2个节段 ) ;无断棒、脊髓神经损伤等并发症发生。结论 :本方法能最大限度矫正脊柱侧凸畸形 ,减少并发症的发生。Objective:To explore a safe and effective method for treatment of serious rigid scoliosis.Methods:Reviewed and analyzed the clinical results of 24 cases with serious rigid scoliosis treated by stages of slow and continuous traction by halo-pelvic devices and multiple Harrington rods with multiple wirings combining with internal fixation.The clinical efficacy of the surgical treatment of scoliosis and the results over one year follow-up were determined.Results:The average degree of the curve were 108.2° and 58.5° before and after operation respectively.Correction rate was 46.1%.After 1～9 years follow-up,slipping-off of hook and breaking-off of steel wire happened in one case respectively.No other serious complication happened such as rod broken and spinal cord injury.Conclusions:Halo-pelvic traction and multiple Harrington rods with multiple wirings combined with internal fixation can correct the deformity of spinal scoliosis maximally and decrease the complications.

关 键 词：脊柱侧凸 多根哈氏棒 头盆牵引 并发症 

分 类 号：R682.13[医药卫生—骨科学]