中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
52期
8999-9004
,共6页
王晓平%陆明%马华松%周建伟%袁伟%陈阳%牛晶%任冬云%秦柳花%郑蕊%张敬
王曉平%陸明%馬華鬆%週建偉%袁偉%陳暘%牛晶%任鼕雲%秦柳花%鄭蕊%張敬
왕효평%륙명%마화송%주건위%원위%진양%우정%임동운%진류화%정예%장경
骨关节植入物%脊柱植入物%强直性脊柱炎%经椎弓根截骨%椎体截骨%内固定%矢状位平衡%植骨融合
骨關節植入物%脊柱植入物%彊直性脊柱炎%經椎弓根截骨%椎體截骨%內固定%矢狀位平衡%植骨融閤
골관절식입물%척주식입물%강직성척주염%경추궁근절골%추체절골%내고정%시상위평형%식골융합
spondylitis,ankylosing%osteotomy%internal fixators%spinal fusion
背景：生物力学的观点认为：强直性脊柱炎的矫形在后凸的顶点处截骨最佳，但术中脊髓损伤的风险大。<br> 目的：分析联合应用椎板间截骨+椎体截骨+长节段椎弓根钉系统内固定治疗强直性脊柱炎后凸畸形的临床效果。<br> 方法：强直性脊柱炎患者共36例，均采用PSO(Pedicle Subtraction Osteotomy)截骨+SPO(Smith-Peterson Osteotomy)联合截骨治疗。随访时间3个月至2年。<br> 结果与结论：36例患者未发现植入物修复后矢状位失平衡者，矢状位失衡的改善率为64%。患者植入物修复后胸腰椎后凸角的到恢复，改善率为60%；颌眉角的改善率为98%，疼痛症状缓解程度为64%，ODI 指数95%；均未发生拔钉、断钉、断棒现象。说明选择性截骨矫形技术+长节段内固定手术能够获得稳定的内固定疗效，防止出现矢状位失平衡，以及强直性脊柱炎因骨质疏松导致的拔钉、断钉、断棒现象的发生。
揹景：生物力學的觀點認為：彊直性脊柱炎的矯形在後凸的頂點處截骨最佳，但術中脊髓損傷的風險大。<br> 目的：分析聯閤應用椎闆間截骨+椎體截骨+長節段椎弓根釘繫統內固定治療彊直性脊柱炎後凸畸形的臨床效果。<br> 方法：彊直性脊柱炎患者共36例，均採用PSO(Pedicle Subtraction Osteotomy)截骨+SPO(Smith-Peterson Osteotomy)聯閤截骨治療。隨訪時間3箇月至2年。<br> 結果與結論：36例患者未髮現植入物脩複後矢狀位失平衡者，矢狀位失衡的改善率為64%。患者植入物脩複後胸腰椎後凸角的到恢複，改善率為60%；頜眉角的改善率為98%，疼痛癥狀緩解程度為64%，ODI 指數95%；均未髮生拔釘、斷釘、斷棒現象。說明選擇性截骨矯形技術+長節段內固定手術能夠穫得穩定的內固定療效，防止齣現矢狀位失平衡，以及彊直性脊柱炎因骨質疏鬆導緻的拔釘、斷釘、斷棒現象的髮生。
배경：생물역학적관점인위：강직성척주염적교형재후철적정점처절골최가，단술중척수손상적풍험대。<br> 목적：분석연합응용추판간절골+추체절골+장절단추궁근정계통내고정치료강직성척주염후철기형적림상효과。<br> 방법：강직성척주염환자공36례，균채용PSO(Pedicle Subtraction Osteotomy)절골+SPO(Smith-Peterson Osteotomy)연합절골치료。수방시간3개월지2년。<br> 결과여결론：36례환자미발현식입물수복후시상위실평형자，시상위실형적개선솔위64%。환자식입물수복후흉요추후철각적도회복，개선솔위60%；합미각적개선솔위98%，동통증상완해정도위64%，ODI 지수95%；균미발생발정、단정、단봉현상。설명선택성절골교형기술+장절단내고정수술능구획득은정적내고정료효，방지출현시상위실평형，이급강직성척주염인골질소송도치적발정、단정、단봉현상적발생。
BACKGROUND:Orthopedic osteotomy at the apex of kyphosis is best for treatment of ankylosing spondylitis from a biomechanical aspect, but there is a high risk for intraoperative spinal cord injury. <br> OBJECTIVE:To explore the clinical efficacy of vertebral plate osteotomy+vertebra osteotomy+long-segment pedicle screw fixation in the treatment of ankylosing spondylitis with kyphotic deformity. <br> METHODS:Thirty-six patients with ankylosing spondylitis were subjected to pedicle subtraction osteotomy and Smith-Peterson osteotomy, and then fol owed up for 3 months to 2 years. <br> RESULTS AND CONCLUSION:After implantation, sagittal imbalance did not occur in 36 patients, and the improvement rate of sagittal imbalance was 64%. The improvement rates of thoracolumbar kyphosis and chin-brow vertical angle were 60%and 98%, respectively. The pain relief rate was 64%, and the Oswestry Disability Index was 95%. There were no pul ed nails, broken nails and broken robs after implantation. These findings indicate that the combination of selective osteotomy technique and long-segment internal fixation can achieve stable fixation effects, prevent sagittal imbalance, and avoid the occurrence of pul ing nails, breaking nails and breaking robs caused by osteoporosis.
