重庆医学2016，Vol.45Issue(36)：5104-5106,3.DOI:10.3969/j.issn.1671-8348.2016.36.020
青少年腰骶部半椎体所致僵硬脊柱侧弯冠状面矫治的疗效观察
Early clinical observation of posterior approach operation for rigid scoliosis caused by lumbosacral hemivertebra in adolescencts
李波 1张辉琴 1桂钱欢 1屈一鸣 1王群波 1钱邦平2
作者信息
- 1. 重庆医科大学附属永川医院脊柱外科 402160
- 2. 南京大学医学院附属鼓楼医院脊柱外科，南京210008
- 折叠
摘要
Abstract
Objective To evaluate the early clinical outcome of one‐stage posterior approach operation for rigid scoliosis caused by lumbosacral hemivertebra in adolescencts .Methods Eighteen adolescencts with rigid scoliosis caused by lumbosacral hemivertebra were surgically treated by the posterior hemivertebral resection and long segment fixation .Hemivertebrae were sited in L5 (14 cases) ,S1 (4 cases) .There were 12 cases of full‐segmented hemivertebrae and 5 cases of semi‐segmented hemivertebrae and 1 case of wedge vertebral body ,10 patients had coronal trunk imbalance .Results The patients were successfully completed sur‐gery .The operation time was 4 .5-8 .5 h ,averaged 6 .3 h ;and the perioperative bleeding was 600-2 800 mL ,averaged 1 180 mL . 2 patient suffered from nerve root injury who received neuro nutrition drugs and Prednisolone after operation and recovered com ‐pletely after one weeks .All cases were follow ed up for 12-38 months ,averaged 21 .6 months .The coronal Cobb angles of lumbo‐sacral curve and proximal lumbar after one week of operations and at the time of the last follow‐up were much better than those be‐fore the operations ,the differences were statistically significant (P<0 .05) .Postoperative radiography demonstrated that no implant failure was observed .Coronal trunk shift was improved in 17 patients after surgery ,1 patient had coronal trunk decompensation . Conclusion The posterior surgery with hemivertebrae resection and long segment fixation is an effective procedure in the treatment of rigid scoliosis caused by lumbosacral hemivertebra in adolescencts .The reconstruction of the coronal plane is the key to the oper‐ation .关键词
先天性脊柱侧凸/半椎体/腰骶段/僵硬Key words
congenital scoliosis/hemivertebra/lumbar/rigid分类
医药卫生引用本文复制引用
李波,张辉琴,桂钱欢,屈一鸣,王群波,钱邦平..青少年腰骶部半椎体所致僵硬脊柱侧弯冠状面矫治的疗效观察[J].重庆医学,2016,45(36):5104-5106,3.
