摘要
目的观察牵引下钉棒系统治疗特发性脊柱侧凸的临床疗效。方法对2009年5月至2011年10月收治的31例特发性脊柱侧凸患者在牵引下,采用徒手植入椎弓根螺钉技术进行手术治疗。患者年龄14～18岁,平均15.6岁。脊柱弯曲度分类：COBB角40°～45°15例,COBB角45°～50°10例,COBB角大于50°~70°6例。按椎体旋转度分类：采用顶椎旋转度测量法（NASH-MOE法）,0~Ⅰ度13例,Ⅰ~Ⅱ度11例,Ⅱ度以上7例。King分型：Ⅰ型6例,Ⅱ型5例,Ⅲ型7例,Ⅳ型8例,Ⅴ型5例。结果全部病例随访6～29个月,平均25个月,术前COBB角40°~70°,平均59°,术后矫正率为90%,最大矫正率为98%;增高2～6 cm,平均4.1 cm。术后无截瘫,内植物无断钉、断棒等并发症,均获得良好效果。结论牵引下钉棒系统治疗特发性脊柱侧凸具有操作方便、安全、固定可靠等优点,是治疗特发性脊柱侧凸的理想方法。
Objective To observe the clinical efficacy of screw rod system under traction in the treatment of idiopathic scoliosis.Methods 31 patients with idiopathic scoliosis admitted from May 2009 to October 2011 were treated by free-hand technique to implant pedicle screw under traction.The patients aged 14-18 years old and average 15.6 years old.The classification of spinal bending degree：COBB angle of 40°-45° in 15 cases,COBB angle of 45°-50 ° in 7 cases,COBB angle of 60°-70° in 3 cases.According to the classification of vertebral rotation by the method of NASH-MOE：0-Ⅰdegree in 13 cases,Ⅰ-Ⅱ degree in 11 cases and Ⅱ degree or above in 7 cases.The King classification：typeⅠin 6 cases,typeⅡin 5 cases,type Ⅲ in 7 cases,type Ⅳ in 8 cases and type Ⅴ in 5 cases.Results All cases were followed up for 6-29 months with an average of 19 months.The preoperative COBB angle was 40°-70° with an average of 59°;the postoperative correction rate was 90% with the maximal correction rate of 98%;the height increase was 2-6 cm with the average of 4.1cm.There were no complications like postoperative paraplegia,broken nails or broken rods happened with better curative effects.Conclusion The screw rod system under traction in treating idiopathic scoliosis has the advantages of convenient operation,safety and reliable fixation,which is an ideal method to treat idiopathic scoliosis.
出处
《现代医药卫生》
2013年第9期1333-1334,共2页
Journal of Modern Medicine & Health
