经椎弓根椎体椎间隙截骨脊柱短缩术治疗脊柱后凸畸形
Chinese Journal of Bone and Joint Injury(2009)
Abstract
目的评价经椎弓根椎体椎间隙截骨脊柱短缩术治疗脊柱后凸畸形的效果,并探讨其适应证。方法对17例脊柱后凸畸形行经椎弓根椎体椎间隙截骨脊柱短缩术治疗。后凸畸形Cobb角平均42.4°。脊髓损伤按Frankel分型:C级1例,D级2例,E级14例。17例均有腰背部疼痛不适,1例伴有膀胱括约肌功能障碍。2例先天性后凸还表现为后凸进行性加重。结果术后脊柱后凸Cobb角平均7.2°。术后腰痛均消失,神经功能FrankelC级1例恢复到D级,1例膀胱括约肌功能障碍者术后症状有改善。结论经椎弓根椎体椎间隙截骨脊柱短缩术治疗脊柱后凸畸形可安全实施,矫正效果良好。
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