Ye Q B, Qiu G X, Wang Y P, Lin J, Zhang J
Department of Orthopedic Surgery, PUMC Hospital, CAMS, PUMC, Beijing 100730, China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2001 Dec;23(6):645-50.
To report the rationale and primary results of application of Chinese universal spinal instrumentation (CHN-USI) in spinal surgery.
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.
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.
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.
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。
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。
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。
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。