[脊髓脊膜膨出患者的椎板切除术。长期结果、并发症及风险分析]
[Kyphectomy in myelomeningocele patients. Longterm results, complications and risk analysis].
作者信息
Akbar M, Almatrod S, Fürstenberg C H, Hemmer S, Kretzer J P, Abel R, Seyler T M, Bruckner T, Carstens C, Wiedenhöfer B
机构信息
Wirbelsäulenchirurgie und Querschnittzentrum, Stiftung Orthopädische Universitätsklinik Heidelberg, 69118 Heidelberg.
出版信息
Orthopade. 2010 Aug;39(8):792-800. doi: 10.1007/s00132-010-1615-3.
BACKGROUND
The conservative and surgical management of lumbar kyphosis is difficult and is a challenge for the orthopaedic surgeon. A kyphotic deformity of the lumbar spine is present in 8% to 20% of these patients. Most curves have very rigid components, often exceed 80 degrees at birth. The options for conservative management are limited. Bracing is extremely difficult, rarely effective, and in advanced stages impossible. We have been using the Warner and Fackler kyphectomy technique at our institution since 1994 as a standard procedure for treating children with lumbar kyphosis due to myelomeningocele.
RESULTS
This study was performed for a better understanding of the cause of the complications and optimizing the surgical technique.
AIM
The aim of this study was to evaluate the longterm results, technical problems, early and late complications and the complication associated risk factors.
背景
腰椎后凸畸形的保守治疗和手术治疗都很困难，对骨科医生来说是一项挑战。在这些患者中，腰椎后凸畸形的发生率为8%至20%。大多数畸形具有非常僵硬的成分，出生时常常超过80度。保守治疗的选择有限。支具治疗极其困难，很少有效，在晚期更是不可能。自1994年以来，我们机构一直采用华纳和法克勒椎体切除技术作为治疗脊髓脊膜膨出所致腰椎后凸畸形儿童的标准手术方法。
结果
进行这项研究是为了更好地了解并发症的原因并优化手术技术。
目的
本研究的目的是评估长期结果、技术问题、早期和晚期并发症以及并发症相关的危险因素。
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