中国组织工程研究Issue(48)：8443-8448,6.DOI:10.3969/j.issn.2095-4344.2013.48.023
植骨及内固定治疗半椎体和重度先天性脊柱侧后凸畸形：三维矫形的有效及安全性
Bone graft and internal fixation for the treatment of hemivertebrae and severe congenital kyphoscoliosis:Effectiveness and safety of three-dimensional correction
王晓平 1秦柳花 1郑蕊 1张敬 1陆明 1马华松 1周建伟 1袁伟 1牛晶 1崔凯 1陈阳 1黄子瑞1
作者信息
- 1. 解放军306医院骨科，北京市 100101
- 折叠
摘要
Abstract
BACKGROUND:Clinical treatment of hemivertebrae-induced congenital scoliosis is a complex medical problem. OBJECTIVE:To find the optimal treatment for hemivertebrae accompanied by congenital scoliosis. <br> METHODS:Total y 142 hemivertebrae patients who had received surgical treatment in the Department of Orthopedics, the 306 Hospital of Chinese PLA, China from 2010 to 2012 were enrol ed. The main surgical treatment was hemivertebrae resection and bone fusion with internal fixation, apical osteotomy for severe scoliosis and spinal shortening with internal fixation, one-stage posterior thoracolumbar osteotomy with internal fixation, spinal decompression with internal fixation. <br> RESULTS AND CONCLUSION:After treatment, the average correction rate was 70.9%for scoliosis and 71.7%for kyphosis. The fol ow-up period was 14-35 months, with an average of 23.4 months. By the end of the final fol ow-up, the loss rate for Cobb’s angle was 7.3%for scoliosis and 7.7%for kyphosis. Fol ow-up X-ray films showed bone fusion and internal fixation without loosening, fracture, and decompensation. Implementation of one-stage posterior thoracolumbar osteotomy with internal fixation can effectively correct hemivertebrae-induced kyphoscoliosis to obtain a satisfactory spinal sagittal and coronal balance.关键词
骨关节植入物/骨与关节临床实践/先天性脊柱侧弯/半椎体/SPO截骨/椎弓根螺钉内固定系统/矢状位失平衡分类
医药卫生引用本文复制引用
王晓平,秦柳花,郑蕊,张敬,陆明,马华松,周建伟,袁伟,牛晶,崔凯,陈阳,黄子瑞..植骨及内固定治疗半椎体和重度先天性脊柱侧后凸畸形：三维矫形的有效及安全性[J].中国组织工程研究,2013,(48):8443-8448,6.
