| 前路松解联合后路矫形固定治疗重度脊柱侧凸 |
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投稿时间：2009-02-24
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| 期刊信息：《中国骨伤》2009年，第22卷，第10期，第781-782页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
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0.5～7.5 cm,平均5.2 cm.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。 |
| 【关键词】脊柱侧凸 脊柱融合术 外科手术 |
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| Anterior release combined with posterior correction for the treatment of severe scoliosis |
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ABSTRACT
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. |
| KEY WORDS Scoliosis Spinal fusion Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨贵成.前路松解联合后路矫形固定治疗重度脊柱侧凸[J].中国骨伤,2009,22(10):781~782 |
| 英文格式: | YANG Gui-cheng.Anterior release combined with posterior correction for the treatment of severe scoliosis[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(10):781~782 |
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