先天性脊柱后凸畸形的外科治疗

目的总结先天性脊柱后凸畸形的手术治疗经验和失败的教训。方法回顾性分析对比本院３３例先天性脊柱后凸畸形患者,经外科治疗术后６月～１４年（平均５年６个月）的随访结果。结果３３例患者手术时平均年龄１６．５岁,平均后凸角度９０．２°,４例行单纯前路手术,７例行单纯后路手术,２２例联合前后路手术,术后畸形矫正率分别为３２．７％、３４．４％和４１．２％。９例合并不全截瘫患者,术后除２例外,其余均恢复正常。结论联合前后路手术的矫形效果优于单纯前或后路手术。

The surgical treatment of congenital kyphosis

OBJECTIVE: To summarize the treatment experience of congenital kyphosis, compare the results of several surgical procedures and conclude the lessons of failure cases with surgical treatment. METHODS: Retrospective analysis of 33 patients with surgical treatment of congenital kyphosis. These patients had a follow-up of 6 months to 14 years with an average follow-up of 5 years and 6 months. RESULTS: Among the 33 cases, the average age at surgery was 16.5 years old and the average kyphosis was 90.2 degrees. Four had anterior fusion, and 7 had posterior fusion only, and 22 had combined anterior and posterior fusion. The percentage of correction of the 3 procedures above mentioned was 32.7%, 34.4% and 41.2% respectively. All of the patients with incomplete paraplegia, but 2 had been recovered completely. CONCLUSIONS: The combined anterior and posterior fusion had a better correction than the anterior group or posterior group alone.