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[1]程永紅.后路經(jīng)椎弓根椎體和椎間隙楔形截骨矯形術(shù)治療脊柱后凸畸形[J].中醫(yī)正骨,2012,24(11):29-31.
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后路經(jīng)椎弓根椎體和椎間隙楔形截骨矯形術(shù)治療脊柱后凸 畸形()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年11期
頁碼:
29-31
欄目:
臨床報(bào)道
出版日期:
2012-11-20

文章信息/Info

作者:
程永紅
安徽醫(yī)科大學(xué)第三附屬醫(yī)院,安徽 合肥 230061
關(guān)鍵詞:
脊柱后凸畸形 截骨矯形內(nèi)固定術(shù)
摘要:
目的:探討運(yùn)用后路經(jīng)椎弓根椎體和椎間隙楔形截骨矯形聯(lián)合椎弓根螺釘系統(tǒng)內(nèi)固定術(shù)治療脊柱后凸畸形的手術(shù)評估,并評價其臨床效果。方法:對21例脊柱后凸畸形患者行后路經(jīng)椎弓根椎體(采用部分蛋殼技術(shù))和椎間隙楔形截骨矯形并輔以椎弓根螺釘系統(tǒng)內(nèi)固定技術(shù)進(jìn)行治療。術(shù)前所有患者均有胸腰背部疼痛不適癥狀,后凸Cobb角平均為56.15°,脊髓損傷按Frankel分級,B級1例,C級2例, D級3例, E級15例,1例伴有膀胱括約肌功能障礙。結(jié)果:術(shù)后所有患者胸腰背部疼痛不適癥狀均消失; 后凸Cobb角平均為7.5°; 脊髓神經(jīng)功能恢復(fù)方面有1例患者Frankel C級恢復(fù)到D級,1例膀胱括約肌功能障礙者術(shù)后癥狀有所改善; 所有患者內(nèi)固定物無松動、斷裂,糾正度數(shù)無明顯丟失。結(jié)論:采用后路經(jīng)椎弓根椎體和椎間隙楔形截骨矯形聯(lián)合椎弓根螺釘系統(tǒng)內(nèi)固定術(shù)治療脊柱后凸畸形患者具有減壓、矯形同時進(jìn)行,矯正度數(shù)較大,矯正效果良好,術(shù)后并發(fā)癥較少,臨床療效明顯等優(yōu)點(diǎn),在實(shí)際臨床工作中可安全實(shí)施。

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更新日期/Last Update: 2012-11-20