头盆环牵引治疗重度僵硬性脊柱侧凸103例报告

Halo-pelvic Drawed to Correct Severe Rigid Cases of Scoliosis:103 Cases Reported

目的 利用头盆环缓慢牵引的作用,将难以治疗的重度僵硬性脊柱侧凸变成容易治疗的轻中度脊柱侧凸,再根据具体情况,行矫形加内固定术。方法 以髂前上棘上2～4厘米为进针点,以髂后上棘稍偏内约0.5厘米为出针点,在骨盆上穿两根4毫米的骨圆针连接盆环,用四根螺丝钉将头环固定在颅骨板外层,接上四条力柱作为支撑棍,平均每天撑高0.2～0.5厘米。结果 通过29～62天的缓慢牵引,103例重度僵硬性脊柱侧凸患者除1例神经纤维瘤病牵引无明显效果外,其余102例均增高5～23厘米,平均每例增高11.35厘米,脊柱畸形明显改善。结论 应用头盆环持续、缓慢地撑开牵引,既可避免脊髓不可逆损伤,又能取得单纯内固定矫形所无法取得的疗效。

Object: Use the actions of Halo- pelvic slowly drawed, file severe rigid cases of scoliosis that is difficult to treat could turn to middle or light, which treated easily. Then, on the base of actual situation, settled orthopedics and inner fixation. Method: Choose the place 2～4 em about anterior superior iliac spine as inner spot, put on 4 nan needies through pelvic, then come out of inside nearly 0.5cm posterior iliac spine, each side of pelvic: has one. Four screws fix halo outside cranial bones. Use four pests as supportive rod, Draw 0.2～0.5cm every day averagely. Result: After 29～62 days slowly drawed, 102 eases severe rigid seoliosis got higher 5～23cm, average 11.35cm, except one case of nerve fiber tumor. Conclusion: The application of Halo- pelivc continually and slowly draws can avoid spinal cord injury. And acquired effect is very well that simple inner fixation didn't.