| 成人退变性腰椎侧凸的分型及手术方法选择 |
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| 引用本文： | 刘洪,米川,Ploumis A,Transfeldt E,Denis F.成人退变性腰椎侧凸的分型及手术方法选择[J].中国矫形外科杂志,2010,18(1):22-25. |
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| 作者姓名： | 刘洪 米川 Ploumis A Transfeldt E Denis F |
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| 作者单位： | 1. 北京大学第一医院骨科,100034
2. Twin Cities Spine Center,USA |
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| 摘 要： | 目的]探讨一种对手术治疗具有指导意义的成人退变性腰椎侧凸的临床分型。方法]回顾性分析1994~2004年10年间手术治疗的成人退变性腰椎侧凸患者168例,根据站立位脊柱全长X线平片上椎体的旋转、前后或侧方移位程度以及冠状面和矢状面躯干的平衡分为三型。Ⅰ型:很小或没有旋转;Ⅱ型:明显旋转和移位;Ⅲ型:重度旋转和移位,伴有冠状面和/或矢状面躯干的不平衡(C7铅垂线偏移4 cm)。再结合患者的临床症状和体征(腰痛及神经根性疼痛)分为三个亚型。A型:腰痛,不伴有神经根性痛;B型:来自腰骶部代偿侧凸的神经根性痛,伴或不伴腰痛;C型:来自主侧凸的神经根性痛,伴或不伴腰痛。结果]ⅠA型3例,ⅠB型28例,ⅠC型6例;ⅡA型21例,ⅡB型45例,ⅡC型39例;ⅢA型12例,ⅢB型6例,ⅢC型8例。其中ⅠA型以后外侧椎间融合或经椎间孔椎间融合为主;ⅠB、ⅠC型的手术方法以单纯椎管减压为主;ⅡA、ⅡB、ⅡC型以后路椎管减压加后外侧融合术为主;ⅢA、ⅢB、ⅢC以前路椎间融合加后路器械矫形、椎管减压及后外侧融合术为主。结论]此分型简便实用,尤其对手术方法的选择具有指导意义。
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| 关 键 词： | 成人 退变性腰椎侧凸 分型 手术 |
Classification and surgical options of adult de novo degenerative lumbar scoliosis |
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| LIU Hong,MI Chuan,Ploumis A,et al..Classification and surgical options of adult de novo degenerative lumbar scoliosis[J].The Orthopedic Journal of China,2010,18(1):22-25. |
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| Authors: | LIU Hong MI Chuan Ploumis A |
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| Institution: | LIU Hong,MI Chuan,Ploumis A,et al.Department of Orthopaedic Surgery,Peking University First Hospital,Beijing 100034,China |
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| Abstract: | Objective]To explore a clinical classification system for the guideline of adult de novo degenerative lumbar scoliosis(ADDLS). Methods]Totally 168 cases were diagnosed as ADDLS and underwent surgery during 1994 and 2004.ADDLS were classified into three types based on vertebral rotation,olisthesis and coronal and/or sagittal balance on full-length standing spine plain anteroposterior radiographs:type I,minimal or no rotation;type II,rotatory olisthesis;type III,rotatory olisthesis and coronal or sagittal i... |
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| Keywords: | adults de novo degenerative lumbar scoliosis(ADDLS) classification surgery |
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