重度僵硬性脊柱侧凸矫正技术进展

CURRENT DEVELOPMENT OF CORRECTION OF SEVERE AND RIGID SCOLIOSIS

目的对重度僵硬性脊柱侧凸矫正技术的进展进行综述。方法查阅近年来国内外重度僵硬性脊柱侧凸的相关文献,总结重度僵硬性脊柱侧凸矫正技术的最新进展。结果重度僵硬性脊柱侧凸矫正技术有如下进展:Halo-重力牵引应用增多;尝试了后路矫形术中应用Halo-股骨髁上牵引;全椎弓根螺钉固定矫形技术逐步得到推广;经后路全脊椎切除技术、一期前后路手术及单纯后路矫形手术应用增多。结论各种矫形技术的进展显显著提高了重度僵硬性脊柱侧凸的矫形效果,但目前尚无标准化治疗方案,未来可期待更显著的进展。

Objective To summarize the current development of the correction of severe and rigid scol iosis. Methods Recent l iterature concerning the correction of severe and rigid scol iosis at home and abroad was extensively reviewed, and current developments of the correction of severe and rigid scol iosis were summarized. Results The correction of severe and rigid scol iosis showed developments as follows： the appl ication of Halo-gravity traction increased and Halo-femoral traction was appl ied in posterior correction surgery. Fixation and correction technique with all pedicle screws was gradually popularized. The appl ications of posterior vertebral column resection, one-stage anterior and posterior surgery, and posterior-only correction surgery increased. Conclusion The developments of all kinds of correction techniques improve the correction effects of severe and rigid scol iosis. Now there is no standardized treatment protocol for severe and rigid scol iosis. Greater development can be expected in the future.