摘要
目的探讨脊髓纵裂合并骨性分隔及脊柱侧弯的术前检查、术前定位、手术方法及手术目的。方法总结74例脊髓纵裂合并骨性分隔及脊柱侧弯的手术选择及方法。结果74例骨性分隔切除硬脊膜囊成型手术取得较好效果,为脊柱侧弯矫形创造了良好的条件,部分患者原有的神经损害症状减轻或消失。结论脊柱侧弯患者在进行矫形手术之前,宜行系统的脊柱X线、CT及MRI检查,了解是否合并脊髓纵裂、骨性分隔。单纯脊髓纵裂可以不处理,合并骨性分隔需行骨性分隔切除术和硬脊膜囊成型术,为脊柱矫形术打下基础,这对于生长期的青少年尤为重要。
Objective To determine the pre-operation investigation, position calculating, surgical method and purpose of diastematomyelia with osseous divide and scoliosis. Methods Clinical studies, including surgical choices and operative methods, on 74 diastematomyelia patients with osseous divide and scoliosis were reviewed. Results All patients achieved a satisfactory result by osseous divide resection and lurnbosacral dural sac plasty. Such surgical process makes patients in a good condition to accept further scoliosis instrumentation. Primary nerve damage symptoms were lightened or eliminated in some patients. Conclusion Before surgical instrumentation all scoliosis patients should have spinal X-ray, CT and MRI examination to determine if diastematomyelia accompanying osseous divide. Sole diastematomyelia do not need any treatment. Patients with diastematomyelia and osseous divide should accept osseous divide resection and lumbosacral dural sac plasty before spinal instrumentation operation, which is the most important for young patients in growing stage.
出处
《首都医科大学学报》
CAS
2008年第4期516-517,共2页
Journal of Capital Medical University
关键词
脊髓纵裂
椎管内骨性分隔
脊柱侧弯
diastematomyelia
osseous divide in vertebral canal
scoliosis
