顶椎切除术治疗僵硬型脊椎侧凸

Two stage apical vartebrectomy in the treatment for rigid scoliosis

中文关键词:  顶椎 切除术 脊椎畸形 脊柱侧凸

英文关键词:Rigid scoliosis,Congenital scoliosis,Apical vertebrectomy,

中文摘要:

  采用顶推切除术作为僵硬型脊柱侧凸矫形手术的一个组成部分，治疗僵硬型脊柱侧凸２３例。其中先天性侧凸１１例，术前平均侧弯角度为９１．３°，术后为４６．０°，平均矫正率为４９．８％．顶椎在Ｔ１～Ｌ２的１８例的矫正率为５５．８％。文中对采用顶椎切除术的原因、方法、合并症和预防意外的要点进行了讨论。结果提示：顶椎在Ｔ１以下、畸形度８０°～１２０°的僵硬型脊柱侧凸，采用此法可以提高矫正率。

英文摘要:

  For obtaining greater correction in a rigid scoliosis, the apical vertebra could be excised by two-stage operation. After the vertebrectomy, a Harrington-Luque instrumentation was performed in the second stage. 2.3 cases of severe rigid scoiosis. of them