CAJ | 학술논문

目的：分析和探讨合并脊髓栓系的先天性脊柱侧凸行脊柱缩短截骨术的安全性及有效性。方法随机选择2011年3月-2014年3月在该院治疗的合并脊髓栓系的先天性脊柱侧凸患者50例，采用脊柱缩短截骨术对其进行治疗，观察其矫正率、症状改善以及并发症发生情况。结果术后冠状面Cobb角为(32.6±15.3)o，与术前的(84.5±20.4)o相比差异有统计学意义(P<0.05)，矫正率为62.4%；术后共有8例患者出现并发症，发生率为16.0%(8/50)。结论脊柱缩短截骨术应用于合并脊髓栓系的先天性脊柱侧凸治疗中具有安全性和有效性，建议在临床上推广应用。
목적：분석화탐토합병척수전계적선천성척주측철행척주축단절골술적안전성급유효성。방법수궤선택2011년3월-2014년3월재해원치료적합병척수전계적선천성척주측철환자50례，채용척주축단절골술대기진행치료，관찰기교정솔、증상개선이급병발증발생정황。결과술후관상면Cobb각위(32.6±15.3)o，여술전적(84.5±20.4)o상비차이유통계학의의(P<0.05)，교정솔위62.4%；술후공유8례환자출현병발증，발생솔위16.0%(8/50)。결론척주축단절골술응용우합병척수전계적선천성척주측철치료중구유안전성화유효성，건의재림상상추엄응용。
Objective Analysis and Discussion tethered spinal cord congenital scoliosis spinal shortening the safety and effective-ness of osteotomy. Methods spinal cord tethered March 2011 to March 2014 in our hospital treated 50 patients with congenital scoliosis, spine shortening osteotomy using them for treatment, correction rate was observed, as well as concurrent symptoms dis-ease occurrence. Results Postoperative coronal Cobb angle was (32.6±15.3) o, compared with (84.5±20.4) o preoperatively signifi-cant difference (P<0.05), the correction rate was 62.4%; after a total of 8 patients complication rate was 16.0%(8/50). Conclusion Shortening osteotomy applied to the spine and spinal cord tethered congenital scoliosis treatment is safe and effective, it is recom-mended in the clinical application.