特发性脊柱侧凸手术治疗的探讨

The effect of different instrumentation on idiopathic scoliosis

目的探讨不同手术方法对特发性脊柱侧凸矫形的疗效。方法对94例特发性脊柱侧凸患者采用了 Harrington 术式、联合 Harrington-Luque(H-L)术式、C-D 及 TSRH 三维矫正,术前、术后临床资料的长期总结,分析所采用不同术式的治疗效果。结果本组94例术后随访时间1～3年,Harrington 术式、联合 Harrington-Luque(H-L)术式、C-D 及 TSRH 三维矫正平均矫正率分别为36.42%、45.18%、55.68%、63.28%,采用 H-L、C-D 和 TSRH 手术方法的矫正度均高于 Harrington 方法,其中以 TSRH 三维矫正系统效果最显著。结论手术矫正特发性脊柱侧凸效果是明显的,尤以近年运用的三维矫正系统效果更为优良。

Objective To investigate the effectiveness of different instrumentation on idiopathic scoliosis. Methods The information before and after the operationsof 94 cases of idiopathic scoliosis, which included Harrington, Harrinton-Luque （H-L）, Cotrel-Dubousset （C-D）, and TSRH 3-dimension correction, were collected and analyzed on a long-term basis, and different operative methods were compared for their advantages and disadvantages. Results Based on 1 to 3 years inquries following 94 cases, the respective average correcting rates of the aboved mentioned instrumentations were 36. 42%, 45. 18%, 55. 68%, 63.28% , which proved that H-L, C-D and TSRH were superior to Harrington in the correction rate and that TSRH 3-dimension correction was even more remarkable. Conclusion The effectiveness of 3- dimension correction was superior to those of other instrumentation.