我们在使用一种补充植入物来矫正大型胸腔曲线方面的经验和早期结果。
Our experience and early results with a complementary implant for the correction of major thoracic curves.
机构信息
Department of Orthopaedics, University of Debrecen Medical Health and Science Center, Nagyerdei Krt. 98, Debrecen, 4032, Hungary.
出版信息
Eur Spine J. 2013 Jun;22(6):1286-91. doi: 10.1007/s00586-013-2698-4. Epub 2013 Feb 8.
PURPOSE
In our article, we would like to introduce a new auxiliary implant called the CAB hook, for use in posterior approach scoliosis surgery.
METHODS
Since 2007, we operated 42 patients with the CAB hook with an average preoperative Cobb angle of 59.3° (28°-92°). In three cases, the posterior approach was preceded by ventral release and Halo traction. In four cases, besides the CAB hooks, SCS hooks and pedicular screws, in three cases both CAB and SCS hooks, in nine cases CAB hooks with SCS pedicular screws, and in 23 cases, only CAB were used. The average follow-up time was 21.6 month (2-51).
RESULTS
All the patients are satisfied with the results. No reoperation was needed due to the loss of correction, pain, implant failure, or infection. The average postoperative Cobb angle decreased to 24.7° (4°-60°). Based on this we calculated the Cincinnati Correction Index (CCI), which was 1.53 (0.7-4.8), which means that our correction exceeded the flexibility of the spine based on the lateral bending X-ray by 53 %.
CONCLUSION
As with all new surgical techniques and implants after the short learning curve, we were able to improve the degree of correction and decrease the time of surgery. One of the advantages of the CAB hook is that besides a few implant-specific instruments, no special instrumentation is required for insertion, and image intensifier need not be used.
目的
在我们的文章中，我们想介绍一种新的辅助植入物，称为 CAB 钩，用于后路脊柱侧凸手术。
方法
自 2007 年以来，我们用 CAB 钩治疗了 42 例患者，平均术前 Cobb 角为 59.3°（28°-92°）。在 3 例中，后路手术前先进行前路松解和 Halo 牵引。在 4 例中，除了 CAB 钩，SCS 钩和椎弓根螺钉外，在 3 例中同时使用 CAB 和 SCS 钩，在 9 例中使用 CAB 钩和 SCS 椎弓根螺钉，在 23 例中仅使用 CAB 钩。平均随访时间为 21.6 个月（2-51）。
结果
所有患者对结果均满意。由于矫正丢失、疼痛、植入物失败或感染，无需再次手术。术后平均 Cobb 角减小至 24.7°（4°-60°）。基于此，我们计算了辛辛那提矫正指数（CCI），为 1.53（0.7-4.8），这意味着我们的矫正超过了侧位 X 线的脊柱柔韧性 53%。
结论
与所有新技术和植入物一样，在经历了短暂的学习曲线后，我们能够提高矫正程度并缩短手术时间。CAB 钩的一个优点是，除了少数特定于植入物的器械外，插入时不需要特殊的器械，也不需要使用影像增强器。
Zotero 插件