摘要
目的探讨椎弓根螺钉固定在特发性脊柱侧凸矫形术中的治疗效果。方法自2000年1月至2008年8月,对21例特发性脊柱侧凸患者行脊柱侧凸矫形术,术中采用徒手技术置入椎弓根螺钉行侧凸矫形,术后佩戴胸腰支具3~5个月。结果随访8~36个月,平均22个月。切口均获得Ⅰ期愈合。患者术前Cobb角平均为67.1°,术后Cobb角平均为25.4°,畸形矫正率为62%,随访中角度丢失平均为3.3°,身高平均增加约6cm。所有病例术中术后均无脊髓神经根损伤表现,均获得满意的脊柱融合。结论椎弓根螺钉固定能提供强大的三维矫正力,效果可靠、并发症少,应用椎弓根螺钉固定治疗特发性脊柱侧凸具有较好的临床效果。
Objective To investigate the efficacy of pedicte screw in the surgical treatment of idiopathic scoliosis. Methods From January 2000 to August 2008,21 patients with idiopathic scoliosis underwent orthomorphia by bare - handed pedicle screw placement, and were immobilized in a brace for 3 to 5 month after surgery. Results The mean follow - up period was 22 months( range 8 - 36 months). The average preoperative major curve was 67.1°, and the angle was 25.4° after surgery. The postoperative correction rate was 62%, and the mean loss of correction was 2.8 during the follow - up period. Body height was increased averagely by 6 cm. No nerves injury happened after surgery. All patients got satisfactory spinal fusion. Conclusion Pedicle screw has a great function in three - dimensional correction with a reliable effect and less complications. The application of this technique could gain a good effect of correction in orthomorphia of idiopathic scoliosis.
出处
《临床外科杂志》
2009年第7期479-480,共2页
Journal of Clinical Surgery