中华医学杂志（英文版）Issue(7)：1297-1302,6.DOI:10.3760/cma.j.issn.0366-6999.2012.07.020
Strong halo-femoral traction with wide posterior spinal release and three dimensional spinal correction for the treatment of severe adolescent idiopathic scoliosis
Strong halo-femoral traction with wide posterior spinal release and three dimensional spinal correction for the treatment of severe adolescent idiopathic scoliosis
ZHANG Hong-qi 1YIN Xin-hua 1LI Feng 1GAO Qi-le 1GE Lei 1WU Jian-huang 1LIU Jin-yang 1GUO Chao-feng 1LIU Shao-hua 1LU Shi-jin 1LI Jin-song1
作者信息
- 1. Department of Spine Surgery, Xiangya Spinal Surgery Center,Xiangya Hosptial Affiliated to Central South University, Changsha,Hunan 410008, China
- 折叠
摘要
Abstract
Background Many investigators advocate anterior release combined with halo-femoral traction and posterior fusion when treating stiff thoracic curves in patient with adolescent idiopathic scoliosis (AIS).But the anterior operations often induce severe complications.Some surgeons choose posterior-only surgery with halo-femoral traction,posterior wide release and correction.But to the best of our knowledge,there are only rare prospective studies on these posterior-only surgeries for AIS patients who have a rigid curve more than 80° and flexibility less than 35％.Methods Sixty-four AIS patients were recruited from September 2006 to June 2009.All patients had rigid curves and underwent spinal correction.They were randomly divided into group A (combined anteroposterior surgery) and group B (posterior-only surgery).Images and scoliosis research society-22 questionnaire (SRS-22) scores were performed praand post-operation and during follow-up visits.The operation time,blood loss,hospital days,and hospital charges were compared between the two groups.Results These patients were followed for an average of 37.5 months (range,24-65 months).No serious complications were observed.There were no significant differences between the two groups in gender,age,preoperative radiographic data,or preoperative SRS-22 score.The average operation time,blood loss,hospital days and hospital charges in group B were less than those in group A.The SRS-22 score in group B was better than in group A at post-operation and at final follow-up.Conclusions In AIS with a rigid curve more than 80° and flexibility less than 35％,strong halo-femoral traction with wide posterior spinal release and three dimensional spinal correction can provide better SRS-22 scores,comparable curve correction,shorter operation time,less blood loss,shorter hospital stays and lower charges when compared to combined anterior and posterior surgery.关键词
adolescent idiopathic scoliosis/posterior spinal release/spinal correctionKey words
adolescent idiopathic scoliosis/posterior spinal release/spinal correction引用本文复制引用
ZHANG Hong-qi,YIN Xin-hua,LI Feng,GAO Qi-le,GE Lei,WU Jian-huang,LIU Jin-yang,GUO Chao-feng,LIU Shao-hua,LU Shi-jin,LI Jin-song..Strong halo-femoral traction with wide posterior spinal release and three dimensional spinal correction for the treatment of severe adolescent idiopathic scoliosis[J].中华医学杂志（英文版）,2012,(7):1297-1302,6.
