Department of Orthopaedics, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China.
Department of Orthopaedics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Sci Rep. 2017 Jan 24;7:41229. doi: 10.1038/srep41229.
For congenital scoliosis associated with intraspinal anomaly, surgical treatment is often advocated. However, the safety and efficacy of single-stage intraspinal mass resection and scoliosis correction remain unclear. The purpose of this study was to retrospectively evaluate the feasibility and risk factors of single-stage surgical treatment for congenital scoliosis associated with intraspinal mass. Patients' clinical records were reviewed for demographic and radiographic data, operating time, intraoperative blood loss, perioperative complications, and postoperative pathologic results. Two female and 5 male patients with an average age of 19.14 ± 7.52 years (range, 11-31 years) were evaluated. Patients were followed for a minimum of 24 months after initial surgical treatment, with an average of 49.71 ± 32.90 months (range, 27-99 months). Spinal curvature was corrected from an average of 69.57 ± 20.44° to 29.14 ± 9.87°, demonstrating a mean correction rate of 55.05% ± 18.75%. No obvious loss of correction was observed at the final follow-up. Complications included transient neurologic deficit, cerebrospinal fluid leakage, and intraspinal mass recurrence in 1 patient each. There was no paralysis or permanent nerve damage. In conclusion, simultaneous intraspinal mass resection and scoliosis correction appears to be safe and effective.
对于伴有椎管内异常的先天性脊柱侧凸，常主张手术治疗。然而，单阶段椎管内肿块切除和脊柱侧凸矫正的安全性和疗效尚不清楚。本研究旨在回顾性评估单阶段手术治疗伴有椎管内肿块的先天性脊柱侧凸的可行性和危险因素。回顾性分析了患者的人口统计学和影像学数据、手术时间、术中失血量、围手术期并发症和术后病理结果。评估了 2 名女性和 5 名男性患者，平均年龄为 19.14±7.52 岁（范围 11-31 岁）。患者在初次手术治疗后至少随访 24 个月，平均随访时间为 49.71±32.90 个月（范围 27-99 个月）。脊柱弯曲从平均 69.57±20.44°矫正至 29.14±9.87°，平均矫正率为 55.05%±18.75%。最终随访时未见明显矫正丢失。并发症包括 1 例患者出现短暂性神经功能障碍、脑脊液漏和椎管内肿块复发。无瘫痪或永久性神经损伤。总之，同时进行椎管内肿块切除和脊柱侧凸矫正似乎是安全有效的。
