CAJ | 학술논문

目的探讨改良皮下棒技术治疗儿童脊柱侧凸的效果.方法回顾性分析2002年6月至2011年6月郑州市骨科医院收治的37例采用改良皮下棒技术治疗脊柱侧凸患儿的临床资料,术后行X线片检查侧凸矫正情况并计算矫正率,同时采用SRS-22满意度评分评价手术效果.结果37例患儿全部获得随访,随访时间6~62个月(平均42个月),其中16例进行1~3次后续撑开.全部患者剃刀背畸形基本消失,侧凸段脊柱骨性融合.无神经系统并发症发生,1例出现肋骨骨折,2例因预留棒过长发生顶皮、发炎.侧凸矫正角度为17°~48°,矫正率为47.5%~79.0%,术后及末次随访时冠状面Cobb角、矫正率、SRS-22满意度评分、身高与术前比较,差异有统计学意义(P<0.05).结论应用改良皮下棒技术治疗儿童脊柱侧凸效果良好,部分患者后期需要承受多次撑开矫正手术.
목적탐토개량피하봉기술치료인동척주측철적효과.방법회고성분석2002년6월지2011년6월정주시골과의원수치적37례채용개량피하봉기술치료척주측철환인적림상자료,술후행X선편검사측철교정정황병계산교정솔,동시채용SRS-22만의도평분평개수술효과.결과37례환인전부획득수방,수방시간6~62개월(평균42개월),기중16례진행1~3차후속탱개.전부환자체도배기형기본소실,측철단척주골성융합.무신경계통병발증발생,1례출현륵골골절,2례인예류봉과장발생정피、발염.측철교정각도위17°~48°,교정솔위47.5%~79.0%,술후급말차수방시관상면Cobb각、교정솔、SRS-22만의도평분、신고여술전비교,차이유통계학의의(P<0.05).결론응용개량피하봉기술치료인동척주측철효과량호,부분환자후기수요승수다차탱개교정수술.
Objective To explore the effects of modified subcutaneous rodding in the treatment of pediatric patients with scoliosis. Methods Clinical data of 37 pediatric patients with scoliosis treated by modified subcutaneous rodding from June 2002 to June 2011 in Zhengzhou Orthopaedics Hospital were analyzed retrospectively. The postoperative correction of scoliosis was observed with X-ray examination, and the effects were evaluated by degree of satisfaction through SRS-22 scoring. Results All patients were followed up from 6 to 62 months, with the average of 42 months, in which 16 patients performed distraction once to three time. Deformity of razor-back almost disappeared in all patients, and they all got bony fusion at scoliotic spine. No complications of nervous system had happened, rib fractures occurred in 1 patient and imflammation due to too long preserved rod in 2 patients. Correction angles were 17°-48°, with the correction rate of 47.5% to 79.0%. The differences of Cobb angles, correction rates, SRS-22 scores, body height had statistical significance between preoperation and postoperation as well as the latest follow-up (P <0.05). Conclusion Modified subcutaneous rodding is a good method to treat pediatric scoliosis, and certain patients needs to perform bracing corrections during the later period.