牵拉成骨技术；发育期间；脊柱畸形____

牵拉成骨技术在发育期间脊柱畸形中的应用

http://www.100md.com 《中华首席医学网》 2006年第13期

牵拉成骨技术；发育期间；脊柱畸形,,牵拉成骨技术；,发育期间；,脊柱畸形,1临床资料与方法,2结果,3讨论,参考文献：

     摘要：[目的]探讨牵拉成骨技术在发育期间脊柱畸形中的应用价值。针对发育期间的脊柱弯曲畸形、侏儒症性脊柱发育障碍或合并有胸廓畸形、骨盆倾斜的病例，均可采用牵拉成骨技术达到治疗目的。[方法]根据头盆环牵引装置的原理，制成头环和盆环。头环用4钉法固定，盆环用2针法固定。另外用4根立柱连接头环与盆环，采用逐日升高的方法，使脊柱逐渐延长伸直，对弯曲畸形的脊柱产生三维矫正的作用。[结果]本组10例患者采用此法治疗，经过70~120 d的牵拉过程，使脊柱畸形产生自家矫正功能，楔形椎体在牵拉的作用下恢复方形，使弯曲的脊柱伸直，旋转的椎体复位，达到三维矫正的目的。[结论]牵拉成骨技术在发育期间脊柱畸形中的应用，是一种代替脊柱内固定手术的微创技术。

    关键词：牵拉成骨技术；发育期间；脊柱畸形

    Application of distraction osteogenesis in correction of deformity of spine during development∥TIAN Huizhong,QU Long,LV Xia,et alXiqiao Peoples Hospital,Nanhai Foshan,Guangdong 528211，China

    Abstract：[Objective]To evaluate the value of distraction osteogenesis for treatment of deformity of spine during developmentDistraction osteogenesis could be used for patients with campylorrhachia,dwarfism eccyliosis of spine or those combined with thoracocyllosis and obliquity pelvis[Method]According to the principle of Halopelvic distraction apparatus which was divided into two parts of halo and pelvic,the halo was 4nail fixation and the pelvic was 2nail fixationThe halo and pelvic were connected by 4 standing pillarThrough the daily extending of 4 standing pillar the curved spine was extended and stretched graduallyAs a result,action of 3D correction of deformity of spine was achieved[Result]Ten patients of this group were treated by this methodsThe action of 3D correction and automatic correction of deformity were showed in 70~120 days distraction that the wedgeshaped vertebra changed into squareness,curved spine was stretched and rotatory vertebra was reduced[Conclusion]Distraction osteogenesis is a minimally invasive surgery instead of internal fixation of spine for the treatment of deformity of spine during development ......

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