临床骨科杂志Issue(3)：241-244,4.DOI:10.3969/j.issn.1008-0287.2014.03.001
脊柱去松质骨化截骨术治疗强直性脊柱炎并脊柱后凸畸形
Vertebral column decancellation osteotomy for the management of the spinal kyphotic de-formity due to ankylosing spondylitis
林斌 1张毕 1许洋 1何勇 1何永志 1郭志民1
作者信息
- 1. 解放军第175 医院骨科医院，福建 漳州 363000
- 折叠
摘要
Abstract
Objective To probe the clinical effect of the vertebral column decancellation(VCD)osteotomy for the management of the spinal kyphotic deformity due to ankylosing spondylitis.Methods Twenty-eight patients with spi-nal kyphotic deformity due to ankylosing spondylitis underwent VCD osteotomy.Preoperative and postoperative height,brow-chin angle,distance of sagittal balance loss and Cobb angle of the osteotomy sites were measured to e-valuate the curative effect.Results The operation time was 128~226 minutes,and the intraoperative blood loss was 960~4 580 ml.Dural rupture encountered in operation in 9 patients,and they healed on time by tight suture and drainage.Three patients encountered postoperative pulmonary infection,and recovered by positive anti-inflammatory therapy treatment.Four patients encountered stress gastric ulcer after operation,and recovered through the proton pump inhibitor treatment.The height was corrected from preoperative 1 10.6~135.4(122.6 ±1 1.2)cm to postopera-tive 150.6~175.8(160.8 ±9.66)cm.The brow-chin angle was corrected from preoperative 62°~112°(66°± 26.3°)to postoperative 5.2~21.4°(12.3°±6.2°).The distance of sagittal balance loss was corrected from preop-erative 12~28(16.6 ±4.6)cm to postoperative 4.5 ~13.8(8.6 ±3.2)cm.Cobb angle was corrected from preoper-ative 40°~145°(86.2°±20.3°)with kyphosis to postoperative -19.2°~21.4°(-2.6°±16.1°)with lordosis. The differences were statistically significant(P<0.05).All patients were followed up for 1 ~4(2.6 ±0.5)years. At final follow-up,all the spinal kyphotic deformities of the patients were corrected obviously.Conclusions VCD osteotomy can effectively correct spinal kyphotic deformity due to ankylosing spondylitis,and significantly improve the appearance and quality of life of patients.关键词
强直性脊柱炎/脊柱后凸/脊柱去松质骨化截骨术Key words
ankylosing spondylitis/spinal kyphotic deformity/vertebral column decancellation osteotomy分类
医药卫生引用本文复制引用
林斌,张毕,许洋,何勇,何永志,郭志民..脊柱去松质骨化截骨术治疗强直性脊柱炎并脊柱后凸畸形[J].临床骨科杂志,2014,(3):241-244,4.
