通用夹用于畸形矫正及作为融合辅助手段：脊柱侧弯的初步结果
Use of the Universal Clamp for deformity correction and as an adjunct to fusion: preliminary results in scoliosis.
作者信息
Jouve Jean-Luc, de Gauzy Jérôme Sales, Blondel Benjamin, Launay Franck, Accadbled Franck, Bollini Gérard
出版信息
J Child Orthop. 2010 Feb;4(1):73-80. doi: 10.1007/s11832-009-0221-6. Epub 2009 Nov 28.
Abstract
PURPOSE
Evaluation of a novel instrumentation device for adolescent idiopathic scoliosis.
METHODS
A new osteosynthesis implant (Universal Clamp) primarily consisting of a sublaminar band and titanium clamp was prospectively studied in 32 patients (average age, 15 years) with a major thoracic curve.
RESULTS
The Universal Clamp was used without anterior release to reduce and maintain correction of the thoracic curve, which improved from 55.1° preoperatively to 14.5° at 3 months without neurological complication or loss of kyphosis.
CONCLUSIONS
This implant distributes stress over a larger area of the laminar cortex than sublaminar wires, patently reducing the risk of laminar fracture for equivalent reduction forces, and permits progressive reduction at several apical levels simultaneously.
摘要
目的
评估一种用于青少年特发性脊柱侧凸的新型器械装置。
方法
前瞻性地研究了一种主要由椎板下带和钛夹组成的新型骨合成植入物（通用夹），该研究纳入了32例（平均年龄15岁）主要为胸弯的患者。
结果
使用通用夹时无需前路松解即可减少并维持胸弯的矫正，胸弯角度从术前的55.1°改善至3个月时的14.5°，且无神经并发症或后凸丢失。
结论
与椎板下钢丝相比，该植入物可将应力分布在更大面积的椎板皮质上，在同等矫正力的情况下明显降低椎板骨折风险，并允许在多个顶椎水平同时进行逐步矫正。
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