颈腰痛杂志
頸腰痛雜誌
경요통잡지
2014年
4期
275-278,279
,共5页
崔立强%谢世明%彭伍四%陈玉龙%徐剑峰%曹云%刘云杰%卿培东
崔立彊%謝世明%彭伍四%陳玉龍%徐劍峰%曹雲%劉雲傑%卿培東
최립강%사세명%팽오사%진옥룡%서검봉%조운%류운걸%경배동
脊柱侧后凸%僵硬性%骨切开术
脊柱側後凸%僵硬性%骨切開術
척주측후철%강경성%골절개술
kyphocoliosis%rigid%osteotomy
目的:评价经后路改良PSO截骨治疗成人特发性僵硬性脊柱侧弯的安全性及早期临床疗效。方法2009-05-2012-04采用经后路顶椎区改良PSO截骨、凸侧部分肋骨头颈段切除及椎弓根螺钉固定矫正治疗成人特发性僵硬性脊柱侧弯患者17例。测量患者术前术后X线片冠状面及矢状面Cobb角, C7中垂线与骶骨中垂线距离,C7铅垂线与骶骨后上缘间的水平距离(SVA间距)以及身高指标来评价侧后凸畸形的纠正和植骨融合情况。结果后凸Cobb角术前平均为50°,术后15°;侧凸Cobb角术前平均为90°,术后18°;C7中垂线与骶骨中垂线距离术前平均4.2 cm,术后0.7 cm;SVA间距术前平均4.1 cm,术后1.5 cm。术前术后比较差异均有统计学意义(P<0.01)。结论经后路改良PSO截骨、椎弓根螺钉固定矫正治疗成人特发性僵硬性脊柱侧弯,能有效矫正畸形和恢复脊柱冠、矢状面平衡,早期结果令人满意。
目的:評價經後路改良PSO截骨治療成人特髮性僵硬性脊柱側彎的安全性及早期臨床療效。方法2009-05-2012-04採用經後路頂椎區改良PSO截骨、凸側部分肋骨頭頸段切除及椎弓根螺釘固定矯正治療成人特髮性僵硬性脊柱側彎患者17例。測量患者術前術後X線片冠狀麵及矢狀麵Cobb角, C7中垂線與骶骨中垂線距離,C7鉛垂線與骶骨後上緣間的水平距離(SVA間距)以及身高指標來評價側後凸畸形的糾正和植骨融閤情況。結果後凸Cobb角術前平均為50°,術後15°;側凸Cobb角術前平均為90°,術後18°;C7中垂線與骶骨中垂線距離術前平均4.2 cm,術後0.7 cm;SVA間距術前平均4.1 cm,術後1.5 cm。術前術後比較差異均有統計學意義(P<0.01)。結論經後路改良PSO截骨、椎弓根螺釘固定矯正治療成人特髮性僵硬性脊柱側彎,能有效矯正畸形和恢複脊柱冠、矢狀麵平衡,早期結果令人滿意。
목적:평개경후로개량PSO절골치료성인특발성강경성척주측만적안전성급조기림상료효。방법2009-05-2012-04채용경후로정추구개량PSO절골、철측부분륵골두경단절제급추궁근라정고정교정치료성인특발성강경성척주측만환자17례。측량환자술전술후X선편관상면급시상면Cobb각, C7중수선여저골중수선거리,C7연수선여저골후상연간적수평거리(SVA간거)이급신고지표래평개측후철기형적규정화식골융합정황。결과후철Cobb각술전평균위50°,술후15°;측철Cobb각술전평균위90°,술후18°;C7중수선여저골중수선거리술전평균4.2 cm,술후0.7 cm;SVA간거술전평균4.1 cm,술후1.5 cm。술전술후비교차이균유통계학의의(P<0.01)。결론경후로개량PSO절골、추궁근라정고정교정치료성인특발성강경성척주측만,능유효교정기형화회복척주관、시상면평형,조기결과령인만의。
Objective To evaluate the early clinical efficacy and safety of the modified poste-rior closing wedge osteotomy in the treatment of adult idiopathic rigid scoliosis. Methods 17 pa-tients with adult idiopathic rigid scoliosis were treated with modified posterior closing wedge os-teotomy. The pre-and post-operative kyphotic Cobb angle,the coronal plane Cobb angle,average apical translation of C7PL-CSVL,average distance of sagital plane between C7 plump line and the posterior superior corner of S1,the height as well as the bone graft fusion and the incidence of complication were accessed. Results All cases received follow-up from 12 to 28 months with an average of 20 months. The average kyphotic Cobb angle was 50°pre-operatively and 15°post-op-eratively. The average coronal plane Cobb angle was 90° pre-operatively and 18° post-operatively. The average apical translation of C7PL-CSVL was 4.2 cm pre-operatively and 0.7 cm post-opera-tively. The SVA distance was 4.1 cm pre-operatively and 1.5 cm post-operatively. There were statis-tically significant differences in the above indexes between preoperation and postoperation (P<0.01). All patients were present with well bone graft,no breakage and loosening of internal fixation,no obvious decompensation occurred. Conclusion The modified posterior closing wedge osteotomy combined with pedicle instrumentation for adult idiopathic rigid scoliosis can obtain satisfied cor-rection of deformity and spinal balance.