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[通用型脊柱内固定器械在脊柱外科手术中的设计与应用]

[Design and application of Chinese universal spinal instrumentation in spine surgery].

作者信息

Ye Q B, Qiu G X, Wang Y P, Lin J, Zhang J

机构信息

Department of Orthopedic Surgery, PUMC Hospital, CAMS, PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2001 Dec;23(6):645-50.

Abstract

OBJECTIVE

To report the rationale and primary results of application of Chinese universal spinal instrumentation (CHN-USI) in spinal surgery.

METHODS

From September 1998 to June 2000, 70 patients with scoliosis, including 30 congenital scoliosis, 36 idiopathic scoliosis and 4 other disorders, were treated with CHN-USI in our hospital. All patients got follow-up after surgery with roentgenogram.

RESULTS

The average follow-up time was 8.9 months. On average, the primary scoliotic curve was reduced from 70.5 degrees (40 degrees-103 degrees) to 32.5 degrees with an average correction rate of 55.6%. The average increases in body height and the length of corrective segment were 6.5 cm and 5 mm respectively. The kyphotic curve was corrected from average 80.5 degrees to 29 degrees. No serious complication was found in our group.

CONCLUSIONS

The CHN-USI which has no need of spinal fusion and will elongate together with the children's growth is a new effective instrumentation for correcting scoliosis, especially in case of growing children. It can also be used in the treatment for kyphosis, anterior derotation spondylodesis, spondylolisthesis and spinal fracture.

摘要

目的

报告通用型脊柱内固定系统(CHN-USI)在脊柱外科应用的理论依据及初步结果。

方法

1998年9月至2000年6月,我院应用CHN-USI治疗70例脊柱侧凸患者,其中先天性脊柱侧凸30例,特发性脊柱侧凸36例,其他疾病4例。所有患者术后均行X线片随访。

结果

平均随访时间8.9个月。主侧弯平均角度由70.5°(40°~103°)降至32.5°,平均矫正率55.6%。身高平均增加6.5 cm,矫正节段长度平均增加5 mm。后凸畸形平均角度由80.5°矫正至29°。本组无严重并发症发生。

结论

CHN-USI无需脊柱融合,能随儿童生长而延长,是矫正脊柱侧凸,尤其是儿童生长型脊柱侧凸的一种新型有效内固定系统。也可用于治疗后凸畸形、前路旋转脊柱融合术、椎体滑脱及脊柱骨折。

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