摘要
目的分析Harrington,luque,C-D三种器械矫正脊柱侧凸的疗效。探讨术中,术后并发症的原因及防治措施。方法2000年2月～2006年10月共矫治各种原因所致的脊柱侧凸68例,平均年龄15.5岁。术前cobb’s角45°～120°,平均62°。Harrington系统矫治20例,luque(L+H)系统矫治32例,C-D系统矫治16例。结果术后平均矫正率62%,发生各种并发症16例。其中神经损伤1例,椎板椎弓骨折4例,肺部感染1例,脱钩3例,断棒2例,假关节1例,棒未端过长3例,伤口感染1例。结论根据脊柱侧凸的畸形程度,选择合适的内固定技术,把握好矫正率与安全性的尺度,减少并发症的发生。
Objective To analyse the result of three instrument （Harrington, Luque and C -D） during correction of scoliosis. To evaluate the cause of the complications and dicuss how to prevent and manage them. Methods Sixty - eight cases of scoliosis were corrected at an average of 15.5 years from February 1992 to Octoberl998. The average preoperative Cobb angle was 62° （range 45°～ 120°）. 20 patients were treated with the Harrington instrumeatation, 32 patients were treated with the Luque instrumentation, 16 patients were treated with the C -D system. Results The average rate of correction was 62% ,meanwhile complications were found in 16 cases. There were intraoperative laminar or pedicle fractures in 4, neurological injury in 1, pneumonia in 1 ,loosening in 3, rod breakage in 2 ,pseudojoint in 1 ,bulge of C - D rods in 3 ,and infection in 1. Conclusion The 3 kinds instrumentation should be used base on the degree of the scoliosis, it is very important to balance the ratio of the correction and the safety to decrease the complications.
出处
《现代医院》
2007年第9期55-56,共2页
Modern Hospitals
