特发性脊柱侧凸的手术治疗

摘要

目的探讨CD和TSRH技术治疗特发性脊柱侧凸的疗效。方法回顾分析1997年到1999年15例特发性脊柱侧凸的治疗，男6例，女9例，年龄7～16岁，平均11岁，其中用CD技术治疗2例，用TSRH技术治疗13例，随访9～24个月，平均16个月，术前Cobb角41°～11°(平均69°)，有3例先行前路松解再行后路矫形融合。结果术后冠状面平均矫正51.0％，平均矫正丢失7°，2例躯干失衡改善，3例矢状面异常矫正，没有神经并发症及假关节发生。结论用CD和TSRH技术治疗特发性脊柱侧凸能得到满意的三维空间上的矫形。%Objective To investigate the effectiveness of posterior CD instrumentation and TSRH instrumentation for the treatment of idiopathic scoliosis. Methods 15 cases of idiopathic seoliosis treated between 1997 and 1999 were reviewed. 2 patients were treated with CD instrumentation. 13 patients were subject to TSRH instrumentation. 6 patients were male and 9 were female. The average age at the time of surgery was 11 years, with a range of 7 to 16 years. The average follow-up was 16 months, with a range of 9 to 24 months. The preoperative curve in the coronal plane averaged 69 degrees,ranging from 41 to 110degrees). 3 cases were treated with an anterior release followed by posterior spinal arthrodesis with instrumentation. Results The average correction of the curve in the coronal plane was 51 per cent in the immediate postoperative period. Follow-up showed that correction loss averaged approximately 7 degrees. Trunk balance improved in 2 cases. Sagittal contour improved in 3 cases. No neurologic eomplieations occurred.None of the patients developed pseudarthrosis. Conclusions Three-dimensional correction of a seoliotic curve can be satisfactorily obtained by using CD instrumentation and TSRH instrumentation.