勒德辛医院青少年特发性脊柱侧弯的手术结果
Operative results of adolescent idiopathic scoliosis in Lerdsin Hospital.
作者信息
Kunakornsawat Sombat, Watcharananan Ittirat, Tungsiripat Rachata, Prasartritha Thavat
机构信息
Center of Excellence in Orthopaedics, Lerdsin Hospital, Bangkok 10500, Thailand.
出版信息
J Med Assoc Thai. 2007 Jul;90(7):1443-9.
OBJECTIVE
Evaluate the results of the posterior instrumentation for the correction of adolescent idiopathic scoliosis (AIS) in Lerdsin Hospital.
MATERIAL AND METHOD
A retrospective study was conducted to determine the effectiveness of surgical treatment of idiopathic scoliosis in Lerdsin Hospital. The pre-operative, immediate post operative, and the most recent follow-up (minimum 2 years) x-ray of 17 patients were evaluated for curve correction and spinal balance.
RESULT
The present study found that the curvatures in thoracic King type II and III were corrected by about 58% post operatively. The curve progressed 3 degrees (5%) at the end of 2 years. For lumbar curve in King types I and II, there was the correction of 51% and 59%. After 2 years, the curve progressed around 6 degrees (7%) and 8 degrees (14%). Trunk balance was corrected by 60% in King type III. Degrees of thoracic kyphosis was decreased about 4 degrees.
CONCLUSION
Frontal and sagittal thoracic and lumbar curve correction can be satisfactorily obtained by posterior spinal correction with instrumentation.
目的
评估勒德辛医院采用后路内固定器械矫正青少年特发性脊柱侧凸（AIS）的效果。
材料与方法
开展一项回顾性研究，以确定勒德辛医院对特发性脊柱侧凸进行手术治疗的有效性。对17例患者术前、术后即刻以及最近一次随访（至少2年）的X线片进行评估，以观察侧弯矫正情况和脊柱平衡情况。
结果
本研究发现，术后胸段King II型和III型侧弯矫正率约为58%。2年后，侧弯进展了3度（5%）。对于King I型和II型的腰段侧弯，矫正率分别为51%和59%。2年后，侧弯分别进展了约6度（7%）和8度（14%）。King III型患者的躯干平衡矫正率为60%。胸段后凸角度减小了约4度。
结论
采用后路脊柱内固定器械矫正可令人满意地实现胸腰段脊柱在额状面和矢状面的侧弯矫正。
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