摘要
目的 :评价前路手术治疗脊柱侧凸的远期疗效。方法 :1980年 1月～ 2 0 0 1年 1月 ,前路手术治疗 168例胸腰段或腰段脊柱侧凸 ,男 5 3例 ,女 115例 ,年龄 7～ 3 1岁 ,平均 14 2岁。术前冠状面Cobb角 3 4～ 89° ,平均 47 5°。随访期间测量冠状面Cobb角 ,了解畸形矫正情况。结果 :15 1例患者随访 3～ 2 4年 ,平均 12 5年 ,术后矫正 2 6～ 45° ,平均矫正 41° ( 85 4% ) ,平均矫正丢失 3 2° ( 7 1% )。脊髓损伤 1例 ,肠系膜上动脉压迫症 4例 ,螺丝钉折断 2例 ,钢缆折断 3例 ,断棒 3例 ,假关节形成 2例。结论 :前路矫形手术能有效地治疗胸腰段或腰段脊柱侧凸 ,能通过较短的节段达到三维矫正和重建躯干平衡。
Objective:To evaluate the long-term result of anterior route correction for thoracolumbar or lumbar scoliosis.Method:Between Jan.1980 and Jan.2001,168 patients with scoliosis underwent anterior route spinal correction and fusion.There were 115 females and 53 males.The average age at surgery were 14.2 years (ranged from 7 to 31 years).The average preoperative Cobb angle were 47.5° (ranged from 34° to 89°).Coronal Cobb angle were measured to assess coronal correction.Result:One hundred and fifty-one cases were followed-up from 3 to 24 years with an average of 12.5 years.Correction with the postoperative Cobb angle averaged 41°(85.4%)(ranged from 26° to 45°),but with an average 3.2°(7.1%) loss of correction.Complications included l case of spinal cord injury,4 cases of superior mesenteric artery syndrome,2 cases of screw fracture,3 cases of steel cable breakage,3 cases of rod fracture and two pseudoarthroses occurred.Conclusion:Anterior route correction constitute effective treatment of thoracolumbar or lumbar scoliosis.It provides 3-dimentional correction and rebalance of the trunk through a shorter fusion segment.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第13期989-991,共3页
Orthopedic Journal of China
关键词
脊柱侧凸
前路手术
远期疗效
Scoliosis
Anterior route correction
Long-term result
