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[重度僵硬型脊柱侧弯矫正的当前进展]

[Current development of correction of severe and rigid scoliosis].

作者信息

Zhou Chunguang, Song Yueming

机构信息

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, PR China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Feb;26(2):238-43.

Abstract

OBJECTIVE

To summarize the current development of the correction of severe and rigid scoliosis.

METHODS

Recent literature concerning the correction of severe and rigid scoliosis at home and abroad was extensively reviewed, and current developments of the correction of severe and rigid scoliosis were summarized.

RESULTS

The correction of severe and rigid scoliosis shows developments as follows: the application of Halo-gravity traction increase and Halo-femoral traction is applied in posterior correction surgery. Fixation and correction technique with all pedicle screws was gradually popularized. The applications of posterior vertebral column resection, one-stage anterior and posterior surgery, and posterior-only correction surgery increase.

CONCLUSION

The developments of all kinds of correction techniques improve the correction effects of severe and rigid scoliosis. Now there is no standardized treatment protocol for severe and rigid scoliosis. Greater development can be expected in the future

摘要

目的

总结重度僵硬型脊柱侧凸矫正的当前进展。

方法

广泛回顾国内外近期有关重度僵硬型脊柱侧凸矫正的文献,并总结重度僵硬型脊柱侧凸矫正的当前进展。

结果

重度僵硬型脊柱侧凸矫正呈现如下进展:头环重力牵引增加及头环股骨牵引应用于后路矫正手术。全椎弓根螺钉固定及矫正技术逐渐普及。后路脊柱切除术、一期前后路手术及单纯后路矫正手术的应用增加。

结论

各种矫正技术的进展提高了重度僵硬型脊柱侧凸的矫正效果。目前重度僵硬型脊柱侧凸尚无标准化治疗方案。未来有望取得更大发展。

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