全脊柱截骨_____全脊柱截骨；后凸；矫形手术

全脊柱截骨矫正严重后凸畸形

http://www.100md.com 《中国矫形外科杂志》 2006年第3期

全脊柱截骨,,全脊柱截骨；后凸；矫形手术,1临床资料,2讨论,参考文献：

     (新疆建工医院脊柱外科，乌鲁木齐830002)

    摘要：[目的]探讨全脊柱截骨矫正脊柱后凸的治疗经验。[方法]全脊柱截骨加椎弓根钉内固定系统闭合及植骨矫正脊柱后凸。[结果]于1984~2005年采用上述方法治疗50例病人。术后全组病例均未发生脊髓损伤，术后临床症状得到不同程度的改善。经历2~15 a平均24 a随访,X线CT复查示螺钉位置良好，无松动断钉。植骨3个月后均达到满意融合。[结论]经全脊柱截骨加有效的内固定手术不仅手术视野开阔操作安全方便;而且截骨和内固定相结合同时完成,是治疗脊柱后凸目前更完善并不断改进一种好方法。

    关键词：全脊柱截骨；后凸；矫形手术

    Correction of severe kyphosis and kyphoscoliosis by total spinal osteotomy∥

    MA Yuan,HUANG Weimin,LI Lei,et al

    Department of Spine Surgery,Xinjiang Jiangong Hospital,Urumqi 830002

    Abstract：[Objective]To explore the experience of the correction of severe kyphosis and kyphoscoliosis by total spinal osteotomy[Method]To correct kyphosis and kyphoscoliosis by total spinal osteotomy and screwsrods internal fixation apparatus,then graft the bone[Result]From 1984 to 2005,50 patients were cured with the way aboveThere were no neural injury observedThe clinical symptom was improved in some extentAll patients were follow up from 2 months to 15 years,averaged 24 years,and the postoperative X ray and CT scans verifies all screws were in a proper positionNo cases of implant failure were observed,and all the patients had a solid bone fusion on radiographs taken 3 months after surgery[Conclusion]The operation to correct severe kyphosis and kyphoscoliosis by total spinal osteotomy with efficient screwsrods internal fixation apparatus,not only have a larger operate area which made opreation easier and more safe,but combine osteotomy with internal fixation and finished at the same time,it is an efficient way to correct kyphosis and kyphoscoliosis ......

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