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脊髓脊膜膨出症脊柱畸形手术治疗的演变

The evolution of surgical treatment of spinal deformity in myelomeningocele.

作者信息

Banta J V

出版信息

Z Kinderchir. 1987 Dec;42 Suppl 1:10-2.

PMID:3433966
Abstract

Although modern anterior and posterior fusion techniques can provide excellent correction of dysraphic spinal deformities, the surgery can be formidable. Newer surgical techniques utilizing segmental spinal fixation of implants has afforded both a greater degree of three-dimensional correction of spinal deformity and more rigid control of the fusion mass. However, due to the inherent loss of posterior elements and the associated high level of paralysis, the use of bivalved total contact spinal orthoses are essential to achieving a high fusion rate with a minimum number of complications.

摘要

尽管现代前后路融合技术能够出色地矫正脊柱裂性脊柱畸形,但手术难度较大。利用植入物进行节段性脊柱固定的新型手术技术,在脊柱畸形的三维矫正方面取得了更大的进展,并且对融合块的控制也更加稳固。然而,由于后部结构的固有缺失以及相关的高位瘫痪,使用双瓣式全接触脊柱矫形器对于实现高融合率并减少并发症至关重要。

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The evolution of surgical treatment of spinal deformity in myelomeningocele.脊髓脊膜膨出症脊柱畸形手术治疗的演变
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Orthopade. 2010 Aug;39(8):792-800. doi: 10.1007/s00132-010-1615-3.