Pishnamaz Miguel, Scholz Matti, Trobisch Per D, Lichte Philipp, Herren Christian, Hildebrand Frank, Kobbe Philipp
Klinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.
Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, BG Unfallklinik Frankfurt a. M., Frankfurt a. M., Deutschland.
Unfallchirurg. 2020 Feb;123(2):143-154. doi: 10.1007/s00113-019-00764-8.
Posttraumatic kyphotic deformities of the thoracolumbar spine may result in significant clinical complaints. If conservative treatment is not successful, surgical correction of the kyphosis becomes an option. In contrast to degenerative deformities, posttraumatic kyphotic deformities are usual limited to few segments and can be treated with shorter constructs. The surgical strategy depends on the rigidity and the localization of the posttraumatic kyphotic deformity. In this respect purely posterior approaches and combined posteroanterior surgical approaches are available each with different advantages and disadvantages.
胸腰椎创伤后驼背畸形可能导致明显的临床症状。如果保守治疗不成功，手术矫正驼背就成为一种选择。与退行性畸形不同，创伤后驼背畸形通常局限于少数节段，可以采用较短的内固定结构进行治疗。手术策略取决于创伤后驼背畸形的僵硬程度和部位。在这方面，单纯后路手术和前后联合手术都有各自的优缺点。
