前路松解联合后路矫形固定治疗重度脊柱侧凸

目的：评价前路松解联合后路矫形对重度脊柱侧凸的治疗效果。方法：2000年7月至2007年1月采用前路松解联合后路矫形固定治疗重度脊柱侧凸23例,男12例,女11例;年龄9～18岁,平均15.3岁。其中先天性半椎体脊柱侧凸9例,特发性脊柱侧凸13例,神经纤维瘤病性脊柱侧凸1例。冠状面上Cobb角81°～126°,平均97.4°。结果：术后侧凸Cobb角为10°～55°,平均37.4°,平均矫正率56.2%。身高增加0.5～7.5cm,平均5.2cm。全部病例均获随访,时间6～24个月,平均10个月,2例出现交界区＂附加＂现象,无断棒、脱钩等并发症。结论：脊柱前路松解安全、有效,联合后路矫形内固定治疗重度脊柱侧凸可获得满意治疗效果。

Anterior release combined with posterior correction for the treatment of severe scoliosis

Objective：To evaluate the clinical results of anterior spinal release combined with posterior correction for the treatment of severe scoliosis. Methods：Twenty three patients of severe scoliosis were retrospectively analyzed from July 2000 to January 2007. There were 12 males and 11 females with an average age of 15.3 years （ranging from 9 to18 years）. Including 9 congenital scoliosis,13 idiopethic scoliosis and 1 neurofibromatosis scoliosis. The pre operative coronal Cobb angles of scoliosis were from 81° to 126° with the mean of 97.4°. Results：The post operative coronal Cobb angles was for 10°-45°（37.4° on average）. All patients were followed up for 6-24 months （means 10 months）. Two cases occurrenced addition phenomemon in junctional zone. There were no hook displacement and rod breaking at follow up. Conclusion：Anterior relaxation and posterior correction is a safe and effective treatment. It can achieve well clinical results for the treatment of severe scoliosis.