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后路半椎体切除短节段融合治疗先天性脊柱侧弯疗效观察

骆家伟

中国医学创新Issue(15):70-73,4.
中国医学创新Issue(15):70-73,4.DOI:10.3969/j.issn.1674-4985.2015.15.024

后路半椎体切除短节段融合治疗先天性脊柱侧弯疗效观察

Clinical Observation of Hemivertebra Resection Only Via Posterior Approach and Short-Segment Transpedicular Instrumentation for Congenital Scoliosis

骆家伟1

作者信息

  • 1. 广东省东莞市谢岗医院 广东 东莞 523590
  • 折叠

摘要

Abstract

Objective:To study the clinical observation of hemivertebra resection only via posterior approach and short-segment transpedicular instrumentation for congenital scoliosis.Method:30 cases with a single hemivertebra from 5 to 14 years old who underwent operative treatment were evaluated.Hemivertebra resection through posterior approach and short-segment transpedicular instrumentation were used for correction of the scoliosis and kyphosis deformities. Cobb’s angles of the segmental curve, total main curve, cranial and caudal compensatory curves and kyphosis were measured on the posteroanterior and lateral radiographs.Result:The patients in this study showed satisfied results.The mean Cobb’s angles of the segmental curve, total main curve, cranial and caudal compensatory curves and kyphosis were all statistically significant difference among before surgery, after surgery and the lastest follow-up assessment (P<0.05). Conclusion:Hemivertebra resection and short-segment transpedicular instrumentation could be performed only through posterior approach, which had exerted satisfiactory correction on congenital scoliosis.If the operation is performed before the maturity of the bone, it will effectively prevent the formation of secondly spinal deformities.It was worthy of clinical application.

关键词

先天性脊柱侧弯/脊柱融合术/半椎体切除

Key words

Congenital scoliosis/Spinal fusion/Hemivertebra resection

引用本文复制引用

骆家伟..后路半椎体切除短节段融合治疗先天性脊柱侧弯疗效观察[J].中国医学创新,2015,(15):70-73,4.

中国医学创新

1674-4985

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