ISOLA与TSRH技术治疗特发性脊柱侧凸的疗效比较

A comparasion of effect of ISOLA and TSRH technique for the treatment of idiopathic scoliosis

目的探讨应用ISOLA及ISRH技术治疗特发性脊柱侧凸的临床疗效,分析各自相对通应症。方法在1997年9月至2002年3月份间分别应用ISOLA(28例)及TSRH(62例)技术治疗共90例特发性脊柱侧凸患者,对侧凸的矫正度、脊柱的平衡以及并发症等结果进行分析。结果Cobb角小于65度的患者,ISOLA组矫正率率为67%,TSRH组矫正率为62%;Cobb角大于65度的患者,ISOLA组矫正率为59%,TSRH组矫正率为40%。结论ISOLA及TSRH技术是治疗特发性脊柱侧凸的行之有效的矫形内固定方法。对于脊柱侧凸角度超过65度,伴有脊柱侧后凸的患者,运用ISOLA技术矫正效果较好。

Objective To discuss the indication of treament for idiopathic scoliosis with ISOLA and TSRH technique. Methods From September 1997 to March 2002,28 cases of Isola instrumenta-tion and 62 cases of TSRH instrumentation were carried out for idiopathic scoliosis. Results They were gained through analyzing the amount of correction,balance of spine column and complications.Results for the patients with Cobb's angle of less than 65 degrees,the corrective rate is 67% and 62% for ISOLA group and TSRH group respectively. And for the patients with Cobb's angle of greater than 65 degrees,the corrective rate is 59% and 40% for ISOLA group and TSRH group re-spectively. Condclusion ISOLA technique and TSRH technique are all efficient treament for idio-pathic scoliosis. Meanwhile,for the patients with Cobb's angle greater than 65 degrees and kyphosis,ISPLA technique to be more effective.