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后路全脊椎截骨治疗胸腰椎后凸畸形36例 被引量:3

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摘要 目的:探讨胸腰段脊柱后凸畸形经后路椎弓根椎间隙截骨脊柱短缩术的疗效。方法:收集胸腰段创伤继发后凸畸形36例,均采用椎板减压、截骨矫形钉棒内固定手术治疗。结果:36例均随访8个月至3年,平均2.5年,疗效优23例(63.8%),良10例(27.8%),可3例(8.4%),优良率91.6%。脊柱后凸畸形患者Cobb’s角术前平均46°,术后平均5.3°,平均矫正率87.6%。术后8月X线片可见钉棒内固定系统坚强可靠,无内固定物松动、断裂、矫正度数丢失等并发症;截骨平面均出现骨性融合。结论:经椎间隙椎弓根后路截骨钉棒内固定技术是目前治疗胸腰段脊柱后凸畸形安全有效的手术方法之一。
出处 《陕西医学杂志》 CAS 2015年第7期853-854,共2页 Shaanxi Medical Journal
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参考文献8

  • 1宋元进,蔡锦芳,孙海燕,王谦军,滕海军.经椎弓根楔形截骨矫正创伤后胸腰段后凸畸形[J].中华创伤骨科杂志,2008,10(9):895-896. 被引量:5
  • 2张国华.开合式楔形截骨术治疗强直性脊柱炎后凸畸形[J].中华外科杂志,2010,48(22):1683-1686. 被引量:5
  • 3Diab MG,Franzone JM,Vitale MG.The role of posterior spinal osteotomies in pediatric spinal deformity surgery Indications and operative technique[J].J Pediatr Orthop,2011,31:88-98.
  • 4Maskymowych WP.Update in spondylarthropathy[J].A Rthritis Rheum,2004,51(1):143-146.
  • 5Kim KT,Suk KS,Cho YJ,et al.Clinical outcome results of pedicle subtraction osteotomy in ankylosing spondylitis with kyphotic deformity[J].Spine,2002,27:612-618.
  • 6Wang Y,Zhang Y,Mao K,et al.Transpedicular bivertebrae wedge osteotomy and discectomy in lumbar spine for severe ankylosing spondylitis[J].J Spinal Disord Tech,2010,23:186-191.
  • 7Chang KW,Cheng CW,Chen HC,et al.Closing-opening wedge osteotomy for the treatment of sagittal imbalance[J].Spine,2008,33:1470-1477.
  • 8Lenke LG,O'Leary PT,Bridwell KH,et al.Posterior vertebral column resection for severe pediatric deformity:Minimum two-year follow-up of thirty-five consecutive patients[J].Spine,2009,34:2213-2221.

二级参考文献35

  • 1Danisa O, Turner D, Richardson W. Surgical correction of lumbar kyphotic deformity: Posterior reduction "eggshell" osteotomy. J Neurosurg, 2000, 92: 50-56.
  • 2Smith-Peterson M, Larson C, Aufranc O. Osteotomy of the spine for correction of flexion deformity in rhumatoid arthritis. J Bone Joint Surg(Am), 1954, 27:1-11.
  • 3Jodoin A, Gillet P, Dupuis P, et al. Surgical treatment of post-traumatic kyphosis: a report of 16 cases. Can J Surg, 1989, 32: 36-42.
  • 4Bohm H, Harms J, Donk R, et al. Correction and stabilization of angular kyphosis. Clin Orthop Relat Res, 1990, (255): 56-61.
  • 5Gertzbein S, Harris M. Wedge osteotomyfor the correction of post-traumatic kyphosis. A new technique and report of three cases. Spine, 1992, 17: 374-379.
  • 6Lehmer S, Keppler L, Biscup S, et al. Posterior transvertebral osteotomy for adult thoracolumbar kyphosis. Spine, 1994, 19: 2060-2067.
  • 7Wu S, Hwa S, Lin L, et al. Management of rigid post-traumatic. Spine, 1996, 21: 2260-2267.
  • 8Suk S, Kim J, Lee S, et al. Anterior-posterior surgery versus posterior closing wedge osteotomy in post-traumatic kyphosis with neurologic ompromised osteoporotic fracture. Spine, 2003, 28: 2170-2175.
  • 9Li F, Sagi H, Liu B, et al. Comparative evaluation of single-level closing-wedge vertebral osteotomies for the correction of fixed kyphotic deformity of the lumbar spine. Spine, 2001, 26: 2385-2391.
  • 10Sar C, Eralp L. Three-stage surgery in the management of severe rigid angular kyphosis. EurSpine J, 2002, 11: 107-114.

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