摘要
目的评价融合至L3 的后路TSRH治疗KingⅣ型青少年特发性脊柱侧凸的效果。方法前瞻性研究分析本院收治的 9例KingⅣ型青少年特发性脊柱侧凸病人 ,采用后路TSRH矫形、下终椎L3 置入两枚椎弓根螺钉、植骨融合的临床资料及治疗结果。结果手术时间平均为 15 0min ,矫正率为 81.2 % ,全部病例随访平均 2 3(4～ 38)个月 ,最后一次随诊时 ,矫形丢失率 1.1% ,腰椎未融合区无代偿性弯曲 ,无曲轴现象。结论融合至L3 的后路TSRH治疗KingⅣ型青少年特发性脊柱凸效果满意 ,同时 ,可最大范围的保留腰椎活动度 ;只要病例选择恰当 ,该方法是确实有效。
ObjectivesTo evaluate the clinical result of the treatment for King ⅣAdolescent Idiopathic Scoliosis(AIS) with TSRH by posterior approach and fusion to L 3.MethodsThe clinical materials and results of 9 cases of King Ⅳ AIS corrected with TSRH by posterior approach and fusion to L 3, planting two pedicle screws to L 3, were analyzed prospectively.ResultsThe average operating time was 150min, the correctional rate was 81.2%, all the cases were followed up for an average of 23 months (ranged 4 to 38 months). At the last follow up the correctional lost rate was 1.1%.There was no crankshaft phenomenon and compensatory scoliosis at the no fusional lumbar area.ConclusionFor the King Ⅳ AIS, treated with TSRH by posterior approach and fusion to L 3 can get satisfying result. Preliminary experience shows this method is feasible, effective and can utmostly reserve the lumbar vertebral motion simultaneously.
出处
《医学临床研究》
CAS
2003年第9期679-682,共4页
Journal of Clinical Research
