摘要
目的 :评价 2 4例老年人脊柱后凸畸形采用“一次性全脊椎楔形截骨术”的方法和效果。方法 :共行脊柱后凸畸形矫正手术 5 12例 ,2 4例年龄超过 6 0岁 ,男 2 1例 ,女 3例 ,最大 71岁 ,平均6 4岁。对于主要脏器严重机能不全 ,严重骨质疏松及腹主动脉钙化者不宜手术 ,本组均行“一次性全脊椎楔形截骨术”。术中配合心电监护 ,并用诱发电位监护脊髓功能 ,确保了手术安全。结果 :术前 Cobb s角 48°～ 91°,平均 76°,术后为 11°～ 2 6°,平均矫正度为 5 3.4°,平均矫正率为 6 8.3%。2 4例均获 2年以上随访 ,疗效满意。结论 :“一次性全脊椎楔形截骨术”治疗老年人脊柱后凸畸形是满意和可靠的手术方法。
Objective: To evaluate the methods and results of 24 cases treated with “one-stage total vertebral wedge-shaped osteotomy” for correction of kyphosis in aged patients. Methods:512 cases of kyphosis were treated by operation, 24 cases of them were aged (more than 60 years) with 21 males and 3 females. The eldest was 71 years, with average of 64 years. For patients with severe function failure of main organs, marked osteoporosis or calcification of abdominal aortic wall. This operation is not advisable. All of them were treated by “One-stage total vertebral wedge-shaped osteotomy”. Cardio-electric and somatosensory evoked potential monitoring during operation ensured safety of the operation. Results:Before operation the Cobbs angle varied from 48° to 91°, averaging 76°. After operation the angle decreased from 11° to 26°,average degree of correction was 53.4°, average percentage of corretion was 68.3%, all the patients have been followed up for more than 2 years. The result was satisfactory. Conclusions: “One-stage total vertebral wedge-shaped osteotomy” for correction of aged kyphosis is a satisfactory and reliable operative method.
出处
《颈腰痛杂志》
2000年第3期210-211,共2页
The Journal of Cervicodynia and Lumbodynia
关键词
脊柱截骨
后凸畸形
老年人
vertebral osteotomy
kyphosis of spine
aged patients
