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用于矫正脊柱侧弯的节段性脊柱内固定术。

Segmental spinal instrumentation for correction of scoliosis.

作者信息

Luque E R

出版信息

Clin Orthop Relat Res. 1982 Mar(163):192-8.

PMID:7067252
Abstract

Sixty-five consecutive scoliosis patients, 25 with idiopathic deformities and 40 with postpoliomyelitis deformities, were treated by preoperative correction, segmental spinal instrumentation with arthrodesis, and no postoperative immobilization. The follow-up ranged from 12 to 25 months (average, 18 months); no patients was lost to follow-up. The initial deformity varied from 35 degrees to 140 degrees (average, 69 degrees), and the final correction varied from 53% to 93% (average, 72%). The average loss of correction was 1.5 degrees, or 2%. The complications in this group were two infections and two pseudoarthroses. The author believes that segmental spinal instrumentation gives a planned maximum correction of scoliotic deformities, provides a satisfactory method of rigid internal fixation of the spine that needs no external fixation, and leads to rapid efficient arthrodesis.

摘要

连续65例脊柱侧弯患者接受了治疗,其中25例为特发性畸形,40例为脊髓灰质炎后畸形。治疗方法包括术前矫正、节段性脊柱内固定融合术,且术后不进行外固定。随访时间为12至25个月(平均18个月);无患者失访。初始畸形角度为35度至140度(平均69度),最终矫正率为53%至93%(平均72%)。平均矫正丢失为1.5度,即2%。该组并发症包括2例感染和2例假关节形成。作者认为,节段性脊柱内固定能对脊柱侧弯畸形进行有计划的最大程度矫正,提供一种无需外固定的令人满意的脊柱坚强内固定方法,并能实现快速有效的融合。

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