| 特发性颈椎后凸畸形的手术治疗 |
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| 引用本文： | 郑永宏,郝定均,吴起宁,贺宝荣,王晓东,郭华,宋伟.特发性颈椎后凸畸形的手术治疗[J].实用骨科杂志,2011,17(2):102-106. |
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| 作者姓名： | 郑永宏 郝定均 吴起宁 贺宝荣 王晓东 郭华 宋伟 |
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| 作者单位： | 陕西省西安市红十字会医院脊柱外科,陕西,西安,710054 |
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| 摘 要： | 目的探讨颈前路撑开的矫形方式治疗特发性颈椎后凸畸形的可行性和疗效。方法对12例特发性颈椎后凸畸形患者均采用颈前路椎间盘切除减压、椎间隙植骨融合和前路钛板内固定治疗,其中男性5例,女性7例;年龄18～34岁,平均24.3岁。5例难复性患者术前先行颅骨牵引适当行颈部软组织松解,术中给予颈椎过伸位牵引以帮助恢复正常的颈椎生理曲度。结果手术后患者临床症状、体征明显改善,颈椎后凸畸形矫正效果明显;术后随访表明颈椎矫正度数在随访中没有明显丢失,内固定位置良好无松动。所有患者均未发生与手术有关的并发症。结论颈椎前路手术通过延长颈椎前柱,可矫正颈椎的后凸畸形,明显改善临床症状和体征,是治疗特发性颈椎后凸畸形的可行方法。
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| 关 键 词： | 特发性 后凸 内固定 |
Surgical Treatment for Idiopathetic Cervical Kyphosis |
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| ZHENG Yong-hong,HAO Ding-jun,WU Qi-ning,et al.Surgical Treatment for Idiopathetic Cervical Kyphosis[J].Journal of Practical Orthopedics,2011,17(2):102-106. |
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| Authors: | ZHENG Yong-hong HAO Ding-jun WU Qi-ning |
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| Institution: | ZHENG Yong-hong,HAO Ding-jun,WU Qi-ning,et al(Department of Spinalsurgery,Xi′an RED Cross Hospital,Xi′an 710054,China) |
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| Abstract: | Objective To discuss the feasibility and validity of the anterior cervical distraction treatment for idiopathetic cervical kyphosis.Methods 12 patients with idiopathetic cervical kyphosis were treated with anterior cervical disc decompression,interbody fusion and anterior plate fixation,respectively.Soft tissue loosening operation were conducted in 5 patients by skull traction.To restore the cervical physiological curvature,cervical hyperextension traction was used during the operation.Results The clinical ... |
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| Keywords: | idiopathetic kyphosis internal fixation |
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