528例脊柱侧凸矫形手术并发症分析及对策

Analysis and strategy of complication for 528 cases of scoliois surgery

[目的]回顾性分析528例脊柱侧凸矫形手术的并发症，并探讨其对策。[方法]1980年1月～2001年1月，手术矫治各种原因所致脊柱侧凸528例。男192例，女336例；平均年龄14，2岁，术前Cobb＇s角34°～102°，平均48．2°。[结果]术后随访3—24a，平均12．5a，术后Cobb’s角平均24°，平均矫正50．2％。脊髓损伤1例，交感神经损伤151例，肠系膜上动脉综合征12例，断钉6例，断棒13例，断钢缆3例，脱钩25例，断钢丝20例，平背畸形30例，出现曲轴现象6例，假关节形成9例。[结论]脊柱侧凸通过三维矫形手术可达到理想的疗效，但要重视预防和处理各种并发症。

[ Objective] To retrospectively analyze the complications of 528 cases of scoliosis surgery, and evaluate its strategy. [ Method] From January 1980 to January 2001, 528 patients with scoliosis underwent correction. There were 336 females and 192 males. The average age at surgery was 14. 2 years. The average preoperation Cobb＇s angle was 48. 2° （ranged from 34° to 102°）. [ Result] The patients were followed up for 3 - 24 years, the average was 12. 5 years. The postoperative Cobb＇s angle averaged 24°. The average correction was 50. 2%. Complications included 1 case of spinal cord injury, 151 cases of sympathetic nerve injury, 12 cases of superior mesenteric artery syndrom, 6 cases of screw fracture, 13 cases of rod fracture, 3 cases of steel cable breakage, 25 cases of hook displacement, 20 cases of wire breakage, 30 cases of flatback syndrome, 6 cases of crankshaft phenomenon and 9 pseudoarthroses. [ Conclusion ] Satisfactory results could be obtained to treat scoliosis.