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《后路半椎体全切钉棒固定治疗幼儿先天性脊柱侧凸畸形.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·288·临床骨科杂志JournalofClinicalOrthopaedics2015Jun;18(3)doi:10.3969/j.issn.1008-0287.2015.03.012·临床论著·后路半椎体全切钉棒固定治疗幼儿先天性脊柱侧凸畸形何宗儒,刘杰,郭士方,钱耀文。摘要:目的评价后路半椎体切除钉棒固定治疗幼儿先天性脊柱侧后凸畸形的临床效果。方法采用后路一期半椎体切除、椎弓根螺钉固定治疗16例完全性半椎体畸形患儿,手术时年龄12~27(15.564-3.79)个月。术前侧凸Cobb角为32。一45。(38.35
2、。4-3.44。),Bending位侧凸26。~72。(53.26。4-7.28。)。结果手术时间145—210(1854-25)min,术中出血量220—580(3754-58)ml,输血量300—480(4504-38)ml;固定节段4—6(5.12±0.75)个椎体。患儿均获随访,时问13—26(18.54-3.2)个月。术后患儿站立位全脊柱正、侧位x线片示侧凸Cobb角9。~15。(12.26。4-2.06。),平均矫正率68.4%;末次随访时侧凸Cobb角12。一2O。(17。4-1.56。),丢失约5。,平
3、均矫正率55.3%。术后伤口愈合不良1例,无神经系统并发症。结论采用一期后路半椎体切除、钉棒固定治疗幼儿先天性脊柱侧凸畸形,可直接去除致畸因素,在幼儿可获得良好的临床效果。关键词:脊柱侧凸/先天性;半椎体;椎体切除;钉棒固定;幼儿中图分类号:R682.13;R726.8文献标识码:A文章编号:1008—0287(2015)03—0288—04Posteriorhemivertebraresectionandinternalfixationinthetreatmentofcongenitalscoliosisofinfa
4、ntHEZong—ru,LIUJ,GUoShi-fang,QIANYao—wen(iGraduateSchoolofNingxiaMedicalUniversity,Yinchuan,Ningxia7D0D0,China;DeptofOrthopaedics,GansuProvincialPeo—plesHospital,Lanzhou,Gansu730000,China)Abstract:ObjectiveToevaluatethesurgicalresultsofposteriorhemivertebraresec
5、tionandinternalfixationwithpedicalscrewinthetreatmentofcongenitalscoliosiscausedbyfullysegmentedhemivertebraofinfant.MethodsPosteriorhemivertebraresectionandinternalfixationwithpedicalscrewwereusedinthetreatmentofcongenitalseoli-osiscausedbyfullysegmentedhemiver
6、tebraofinfantchildrenin16cases.Surgeryagewas12—27(15.56±3.79)months.PreoperativeCobbangleof32。一45。(38.35。4-3.44。);Bendingbitscoliosiscouldbecorrectedto26。一72。(53.26。4-7.28。).ResultsIn16patients,theoperationtimewas145—210(1854-25)min,thebloodlosswas220—580(3754-5
7、8)mlandbloodtransfusionduringoperationwas300~480(4504-38)ml,thefusionlevelwas4~6(5.124-0.75)segments.Childrenwerefollowedupfor13~26(18.54-3.2)months.PostoperativestandingwholespinelateralX—rayfilmshowedscoliosiswascorrectedfrom9。~15。(12.26。±2.06。),withaaver-agec
8、orrectionrateof68.4%.Cobbangleatfinalfollow—upwas12。~20。(17。4-1.56。),lost5。,theaveragecor—rectionratewas55.3%.Onegotdelayedwoundhealing.Therewasnoneurologicalcomplica
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