经前路松解联合后路固定治疗特发性脊柱侧凸

目的:评价经前路松解联合后路矫形对特发性脊柱侧凸的治疗效果。方法:回顾性分析我院收治的51例(男16例,女35例;年龄8～17岁,平均13.2岁)特发性脊柱侧凸行前路松解及后路脊柱畸形矫形植骨融合术患者的临床资料及治疗结果。结果:本组中行前路松解、植骨,阻滞椎间盘平均2.4个。联合后路椎弓根钉(钩)-棒系统内固定,植骨、融合。术后特发性脊柱侧凸Cobb角<90°者额状平面平均矫正率为57%,矢状面后凸平均矫正率为50%;Cobb角>90°者额状平面平均矫正率为71%,矢状面后凸平均矫正率为74%。术后随访10～35个月,平均随访21.6个月,无矫正度的丢失及其他神经系统及血管损伤并发症。结论:脊柱前路松解安全、有效,联合后路相适应内固定系统矫形、植骨治疗特发性脊柱侧凸可获得满意治疗效果。

Anterior spinal relaxation followed posterior instrumentation for the treatment of idiopathic scoliosis

Objective:To evaluate clinical results of anterior spinal release followed by posterior instrumentation for the treatment of idiopathic scoliosis.Methods:Twenty-one patients(male 16 cases,female 35 cases;ages ranged from 8 to 17 years,with an average of 13.2) with idiopathic scoliosis receiving anterior relaxation and posterior instrumentation and bone grafting and fusion were retrospectively analyzed.Results:Anterior relaxation and bone grafting were produced.Average number of relaxation and fusion was 2.4.Posterior instrumentation of pedicle screw systems followed the above operation.The average frontal correction was 57% and the average sagittal correction was 50% for the patients with scoliosis less than 90%,and they were 71% and 74% for the patients with scoliosis more than 90%.All the patients were followed up from 10 to 35 months,with an average of 18.7 months.No neurologic or vascular complication and loss of correction angle occurred.Conclusion:Anterior spinal relaxation followed posterior instrumentation surgery is a safe and effective technique for this treatment.It can avoid complications and achieve well clinical results for the treatment of idiopathic scoliosis.