中国骨科临床与基础研究杂志
中國骨科臨床與基礎研究雜誌
중국골과림상여기출연구잡지
CHINESE JOURNAL OF CLINICAL AND BASIC ORTHO[AEDIC RESEARCH
2013年
3期
179-183
,共5页
杨庆磊%尹庆水%马向阳%杨进城
楊慶磊%尹慶水%馬嚮暘%楊進城
양경뢰%윤경수%마향양%양진성
脊柱侧凸%脊柱后凸%后路截骨术
脊柱側凸%脊柱後凸%後路截骨術
척주측철%척주후철%후로절골술
Scoliosis%Kyphosis%Posterior Osteotomy
随着三维矫形理论和脊柱内固定系统的发展,重度脊柱畸形后路截骨术在临床逐步得到推广应用。该技术具有矫形效果好、减压充分等优点,但也存在缺乏标准化及个性化治疗策略、手术并发症发生率高等缺点。该文综述后路截骨技术的最新进展,主要包括术前检查及评估,不同的手术方式及其适应证、矫形效果,手术并发症及其预防措施等。
隨著三維矯形理論和脊柱內固定繫統的髮展,重度脊柱畸形後路截骨術在臨床逐步得到推廣應用。該技術具有矯形效果好、減壓充分等優點,但也存在缺乏標準化及箇性化治療策略、手術併髮癥髮生率高等缺點。該文綜述後路截骨技術的最新進展,主要包括術前檢查及評估,不同的手術方式及其適應證、矯形效果,手術併髮癥及其預防措施等。
수착삼유교형이론화척주내고정계통적발전,중도척주기형후로절골술재림상축보득도추엄응용。해기술구유교형효과호、감압충분등우점,단야존재결핍표준화급개성화치료책략、수술병발증발생솔고등결점。해문종술후로절골기술적최신진전,주요포괄술전검사급평고,불동적수술방식급기괄응증、교형효과,수술병발증급기예방조시등。
Following the development of 3D deformity correction theory and spinal internal fixation systems, posterior osteotomy for the patients with severe spinal deformity has been extended for clinical application. The technique has the advantage of excellent effect in spine correction and spinal cord decompression while the disadvantages include absence of standardized and individualized treatment strategies, high incidence of postoperative complications and so on. Latest development was reviewed in this paper involving preoperative examinations and evaluations, different surgical methods and their indications as well as orthopedic effects, surgical complications and the relative preventions etc.