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首页> 外文期刊>European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society >Hemivertebra resection in children, results after single posterior approach and after combined anterior and posterior approach: a comparative study.
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Hemivertebra resection in children, results after single posterior approach and after combined anterior and posterior approach: a comparative study.

机译:儿童半椎骨切除术,单次后入路和前后路联合入路后的结果:一项比较研究。

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摘要

To compare the results after hemivertebra resection through a single posterior approach and through a combined anterior and posterior approach.This is a retrospective study on patients treated by hemivertebra resection with monosegmental instrumentation for congenital scoliosis at a single institution. The patients were divided into two groups according to the surgical approach. Both groups were compared for curve correction, complication rate and perioperative data. Paired samples T test was used for statistical evaluation.Twenty-five consecutive patients were included. In 12 cases the hemivertebra resection was performed through a single posterior approach (SPA) and in 13 via a combined anterior and posterior approach (CAPA). Curve correction was similar in both groups (59 vs. 55%, p>0.05). Duration of surgery (272 vs. 319 min) and postoperative mechanical ventilation were shorter in the SPA group (5 vs. 30 h), but did not reach statistical significance (p>0.05). Significant blood loss necessitating blood transfusion was observed in six patients operated through an SPA and in 8 patients operated through a CAPA. The duration of the ICU management (1 vs. 3 days) and the hospital stay (12 vs. 19 days) were significantly shorter in the SPA group (p<0.05). Less surgery related general complications were observed in the SPA group (0 vs. 38%).Similar correction of the main and the compensatory curves can be achieved with single posterior and combined anterior and posterior hemivertebra resection. Benefits of the SPA are lower complication rate and shorter recovery period.
机译:为了比较通过单次后入路和通过前后路联合入路的半椎切除术后的结果,这是对单机构先天性脊柱侧弯单侧椎弓根切除术治疗半椎切除患者的回顾性研究。根据手术方式将患者分为两组。比较两组的曲线校正,并发症发生率和围手术期数据。配对样本T检验用于统计学评估,包括25例连续患者。在12例中,通过单次后入路(SPA)进行半椎骨切除,在13例中通过前后后入路(CAPA)进行切除。两组的曲线校正相似(59比55%,p> 0.05)。 SPA组的手术时间(272 vs. 319 min)和术后机械通气时间较短(5 vs. 30 h),但未达到统计学意义(p> 0.05)。在通过SPA手术的6例患者和通过CAPA手术的8例患者中观察到需要输血的大量失血。 SPA组的ICU管理时间(1天比3天)和住院时间(12天比19天)明显缩短(p <0.05)。在SPA组中,与手术相关的一般并发症较少(0%vs. 38%)。可以通过单次后路和前,后半椎联合切除来实现主要和代偿曲线的相似矫正。 SPA的好处是并发症发生率较低,恢复期较短。

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