King Ⅱ 型脊柱侧凸的认识和融合区选择

The selection of fusion in scoliosis of King type Ⅱ

目的：探讨选择性胸椎后融合术治疗ＫｉｎｇⅡ型侧凸的疗效。方法：对８０例特发性脊柱侧凸病例复习和对其中２２例ＫｉｎｇⅡ型侧凸患者治疗结果进行随访。２２例中８例实行了选择性胸椎后融合术，１４例实行了未经选择的脊柱后融合术，将二者做对比。结果：应用选择性胸椎后融合术治疗ＫｉｎｇⅡ型侧凸不仅减少融合范围，并可使腰段弯曲得到自然矫正同时又保留了腰椎的正常活动。结论：认为Ｋｉｎｇ分型对特发性脊柱侧凸中胸弯和胸腰双弯曲的融合区选择有指导意义。

Objective:The selective thoracic fusion effects of King type Ⅱ scoliosis were assessed.Method:80 cases of scoliosis were reviewed and among them the follow up results of 22 cases of King type Ⅱ curve were analysed.In 8 cases of King type Ⅱ scoliosis selective thoracic fusion were performed and nonselective fusion in 14 cases were performed.Result:Selective thoacic fusion could give excellent results and decrease the vertebral levels to be fused in King type Ⅱ scoliosis.Conclusion:King classification for idopathic scoliotic curves is useful to select fusion area in thoracic and double thoracic and lumbar curves.It is stressed that the identification of stable vertebra is important to selective fuse King type Ⅱ curve.