全椎体截骨(vcr)治疗儿童脊柱后凸畸形

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1、万方数据重庆医科大学硕士研究生学位论文1．对严重性混合性脊柱畸形，柔韧性差，后凸畸形的畸形矫正率更高。2．术中行病变全椎体切除术，病灶清理更彻底，有利于促进结核的痊愈和降低术后结核感染复发几率。3．避免术中矫形过程中脊髓过度牵拉造成的脊髓损伤。4．可通过短节段脊柱融合固定矫正畸形，减少脊柱矫形手术对儿童上下部量比例的影响。综上所述，VCR技术结合椎弓根钉棒固定、脊柱植骨融合，优势明显，是治疗儿童脊柱后凸畸形的有效方法之一，值得在临床中借鉴和推广。关键词：脊柱后凸畸形；儿童；全椎体截骨万方数据重庆医科大学硕士研究生学位论文VE

2、RTEBRALCoLUⅣ【NRESECTIONFoRKYPHOTICDEFoRMITYINCmLDRENABSTRACTObjective：Toexplorethemethodandeffectforthetreatmentofkyphoticdeformitywithvertebralcolumnresectioninchildren．Materialsandmethods：fromJuly2010toJuly2013，15childrenwithkyphosisdeformitywerereceivedandcuredb

3、yunderwentone。stageVCR．5casesofcongenitalkyphosisdeformity，10casesofspinaltuberculosiswithkyphoticdeformity，including4casesofactivestage，6casesofrecovery．6casesweremale，andtheortherfeweremale．2casehadneurologicsymptomsbeforeoperation，1caseofCgradeofFrankel，1casesof

4、Dgrade．AllpatientsunderwentpreoperativespinalX-ray，three．dimensionalCTimaging，spinalMRIscanning，somatosensoryevokedpotentialstospinaldeformity，spinalcordstructureabnormalityandpathwayinspinalcordabnormality．Allthepatientsunderwentvertebercolumnresection，transpedicu

5、larfixationcombinedwithbonegraRfusion．Befixedwiththeteaminshort．term．Tocomparetheeffectofoperationbytheradiologicalimages，appearanceandthenervoussystemfunctionResults：Allofthecaseswerereceivedoutpatientfollow。up，follow．uptimewas6-36months(average15months)，spinaldef

6、onnity4万方数据重庆医科大学硕士研究生学位论文appearancerecoverysatisfaction．Theevaluationofcurativeeffect：9casesofexcellent，5casesofgood，1casesofmiddle，noneofpoor．Therateofexcellentandgoodreached93．3％．1casesofscrewloosening、andhadtheortherorthopedicoperation．TheFrankelgradeof2caseswi

7、thpreoperativeneurologicalsymptomsreachesEpostoperative．Conclusion：ThetechniqueofVCRcombinedwithpediclescrewfixationandspinalfusionhaveobviousadvantages．Itisoneoftheeffectivemethodsfortreatmentofchildrenwithspinalkyphosis，andworthtobepopularizedinclinic．Keywords：Ky

8、phosis；children；vertebralcolumnresection)万方数据重庆医科大学硕士研究生学位论文全椎体截骨(VCR)治疗儿童脊柱后凸畸形前言脊柱后凸畸形(Kyphosis)，是由各种原因引起的脊柱矢状面上屈曲畸形，外观表现为脊柱向后侧凸出畸形。畸形脊柱周围组织及解剖