先天性脊柱后凸畸形的外科治疗

The Surgical Treatment of Congenital Kyphosis

目的总结先天性脊柱后凸畸形的手术治疗经验和失败的教训。方法回顾性分析对比本院３３例先天性脊柱后凸畸形患者，经外科治疗术后６月～１４年（平均５年６个月）的随访结果。结果３３例患者手术时平均年龄１６．５岁，平均后凸角度９０．２°，４例行单纯前路手术，７例行单纯后路手术，２２例联合前后路手术，术后畸形矫正率分别为３２．７％、３４．４％和４１．２％。９例合并不全截瘫患者，术后除２例外，其余均恢复正常。结论联合前后路手术的矫形效果优于单纯前或后路手术。

Objective To summarize the treatment experience of congenital kyphosis, compare the results of several surgical procedures and conclude the lessons of failure cases with surgical treatment.Methods Retrospective analysis of 33 patients with surgical treatment of congenital kyphosis.These patients had a follow up of 6 months to 14 years with an average follow up of 5 years and 6 months.Results Among the 33 cases,the average age at surgery was 16 5 years old and the average kyphosis was 90 2°.Four had anterior fusion,and 7 had posterior fusion only,and 22 had combined anterior and posterior fusion.The percentage of correction of the 3 procedures above mentioned was 32 7%,34 4% and 41 2% respectively. All of the patients with incomplete paraplegia,but 2 had been recovered completely.Conclusions The combined anterior and posterior fusion had a better correction than the anterior group or posterior group alone