脊椎截骨术治疗驼背畸形45例报告

45 Cases Report of Vertebral Ostcotomy forCorrection of Kyphosis of Spine

自１９９１～１９９３年应用脊椎骨截骨术治疗驼背畸形４５例，畸形矫正最小２０°，最大８０°（Ｃｏｂｂ法），截骨平面为１～３处不等。４４例达到驼背畸形基本矫正的满意效果，１例并发不全截瘫。文中介绍了手术的适应证，手术方法及术后处理。脊椎骨截骨术，截骨面从棘突、椎板、椎弓根到椎体，不易损伤脊髓和神经根，不波及软骨面处理问题，不导致前纵韧带断裂，椎体前方崩开，截骨面对合好，愈合快。

From 199l to 1993,45 cases of verte-bral osteotony for correction of kyphosis ofspine were presented.Correction degrees ofdeformity were 20 to 80 (Cobb’s method).Osteotomy were performed between 1～3segments of spine. 44 cases had an excellentor good result.Incomplete paralysis oc-curred in 1 case. The indication,operativemethod and postoperative management werediscribed.The authers discussed the advan-tage of vertebral osteotomy in detail.