一期前路手术治疗脊柱角状后凸畸形 |
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引用本文: | 海涌,陈志明,马华松,邹德威,周雪峰,白克文. 一期前路手术治疗脊柱角状后凸畸形[J]. 中国脊柱脊髓杂志, 2005, 15(4): 215-217 |
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作者姓名: | 海涌 陈志明 马华松 邹德威 周雪峰 白克文 |
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作者单位: | 解放军306医院骨科,全军脊柱外科中心,100101,北京市 |
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摘 要: | 目的:探讨一期前路松解、椎管减压、植骨、内固定手术治疗脊柱角状后凸畸形的安全性和疗效。方法:1999年9月至2003年5月23例脊柱角状后凸畸形患者接受手术治疗,其中男9例,女14例,平均年龄27岁。先天性脊柱后凸14例,脊柱结核后凸畸形5例,外伤后脊柱后凸畸形4例。后凸Cobb角平均76°。所有患者均采用一期前路松解或椎管减压、椎体间植骨及钉-棒系统矫形固定治疗。结果:所有患者安全完成手术,无脊髓及神经根损伤等严重手术并发症,后凸平均矫正47°(矫正率61.8%)。术后随访平均24个月,植骨节段全部融合,融合时间平均为4.2个月。随访中82.6%的患者对治疗结果满意。结论:一期前路手术可有效地矫正脊柱角状后凸畸形,同时能行椎管减压和重建脊柱稳定性。
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关 键 词: | 脊柱后凸 脊柱融合术 前路减压 内同定 |
文章编号: | 1004-406(2005)-04-0215-03 |
修稿时间: | 2005-02-24 |
Surgical treatment of angular spinal kyphosis with one stage anterior instrumented fusion |
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Abstract: | Objective:To evaluate the safety and feasibility of surgical treatment of angular spinal kyphosis with one stage anterior instrumented fusion.Method:From September 1999 to May 2003,23 cases of angular spinal kyphosis were treated surgically.There were 9 male and 14 female with an average age of 27 years. There were 14 cases of congenital kyphosis,5 cases of TB kyphosis and 4 cases of post-traumatic kyphosis. The average preoperative kyphosis was 76 degree.All patients underwent one stage anterior decompression,interbody fusion and screw-rod fixation.Result:All patients underwent surgery safely and no severe complications occurred.The average correction of kyphosis was 47 degree(61.8%).The average follow up was 24 months,solid fusion was obtained and the fusion time was 4.2 months in average.During the follow up,82.6% of the patients reported satisfaction with the surgery.Conclusion:One stage anterior instrumented correction and fusion can obtain adequate decompression and reconstruction of the spine.It is an effective surgical treatment for angular spinal kyphosis. |
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Keywords: | Kyphosis Spinal fusion Anterior decompression Instrumentation |
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