摘要
目的 :报告 5 6 9例脊柱侧凸患者矫形手术治疗的远期随访结果 ,比较不同术式的治疗效果。方法 :回顾分析1985年～ 2 0 0 0年收治的 5 6 9例脊柱侧凸患者的临床资料 ,总结各种术式矫形手术的治疗效果及 5年以上随访结果。结果 :5 6 9例患者分别采用Harrington术式、Luque术式、Harrington加Luque术式、Ziekle术式、Harrington加Wisconsin棘突钢丝等传统术式和中华长城椎弓根螺钉三维旋转矫正系统术式 ,传统术式各组平均矫正率为 30 % ,各组间无显著性差异 (P >0 0 5 ) ;中华长城术式组平均矫正率 82 % ,与传统术式相比明显提高 (P <0 0 0 1) ,5年以上随访矫正丢失小于 7%。结论 :适时手术器械矫形固定融合是目前治疗青少年脊柱侧凸的有效方法。
Objectives:Retrospective review of the clinical results of 569 patients with scoliosis treated with different surgical techniques in long term follow up,to determine the clinical efficacy of the surgical treatment of scoliosis.Method:Review and analyze the clinical results of 569 patients with scoliosis from 1985～2000,determine the clinical efficacy of the surgical treatment of scoliosis and the results over five years follow up.Result:There were 569 patients included in the study,treated with Harrington Rod System,Luque System,Harrington plus Luque System,Zielke System,Harrington System plus Wisconsin Spinosus Processes Wires,and China Greatwall 3D Pedicle Screw System.Among the traditional surgical techniques,the average correction rate was 30%.There was no statistical significant difference among the trational techniques ( P >0 05).The group treated with China Greatwall System achieved the average of 82% and there was a statistical significant difference comparing with the results of traditional techniques.There was only 7% loss of correction at the five years follow up for the China Greatwall group.Conclusion:Surgical treatment with right indication,appropriate surgical technique, and proper timing is the reliable method for the treatment of scoliosis.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2002年第1期9-12,共4页
Chinese Journal of Spine and Spinal Cord
关键词
脊柱侧凸
胸椎
椎弓根螺钉
三维矫正
手术疗法
随访
Scoliosis
Thoracic spine
Pedicle screw
Rotation
Three dimensional corrections
