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应用TSRH三维矫形系统治疗脊柱侧凸 |
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翁习生 邱贵兴 沈建雄 赵宏 郑忠 金今 王以朋 田野 林进 仉建国
【摘要】目的应用TexasScottishRiteHospital(TSRH)系统矫正脊柱侧凸的冠状面畸形、矢状面畸形和旋转畸形。方法1998年1月～1999年6月应用TSRH系统治疗脊柱侧凸32例，其中男6例，女26例；年龄11～45岁，平均16.4岁。特发性侧凸21例，先天性侧凸11例。术前冠状面畸形（Cobb法）为44°～125°，平均71.2°；矢状面后凸畸形（T3～12）为－16°～67°，平均49.2°；旋转畸形（Nash－Moe法）为Ⅰ～Ⅲ度。术前躯干移位3～9cm，平均4.8cm。结果术后所有病例经6～24个月，平均9.7个月随访。冠状面畸形为10°～73°，平均26.6°，平均矫正率为63.8％；矢状面后凸（T3～12）为10°～45°，平均28°；旋转畸形平均矫形1度。躯干移位为0.5～5.0cm，平均1.6cm，平均矫形66.7％。浅表感染及下钩滑脱各1例，发生率为3.1％。所有病例术中、术后均无脊髓神经损伤。结论TSRH系统具有三维矫形能力，不仅可矫正冠状面畸形，而且可矫正矢状面和旋转畸形，效果可靠、操作方便、并发症少、术后不需石膏固定。
【关键词】脊柱侧凸；内固定器；治疗结果
Three-dimensional correction of scoliosis using TSRH instrumentation
WENG Xisheng, QIU Guixing, SHEN Jianxiong, et al.
（Department of Orthopaedics, Peking Union Medical College Hospital, Peking Union Medical University, Beijing 100730， China）
【 Abstract】 Objective To evaluate the results of TSRH instrumentation in the correction of frontal, sagittal and axial plane deformity of scoliosis. Methods From January 1998 to June 1999,thirty-two consecutive patients with scoliosis underwent anterior or posterior spinal instrumentation and fusion using TSRH instrumentation.There were 6 males and 26 females, with an average age at the time of surgery of 16.4 years (range, 11－ 45). Twenty-one cases were idiopathic scoliosis and 11 cases were congenital. The preoperative curve measurement showed an average of 71.2° (range, 44° － 125° ), and 49.2° (range, － 16° － 67° ) in frontal and sagittal respectively, while axial plane deformity (Nash－ Moe) ranged from Ⅰ to Ⅲ degree. Preoperative trunk shift averaged 4.8 cm (range, 3－ 9 cm). Results All the patients were followed-up for an average of 9.7 months (range, 6－ 24 months) after operation. The averaged frontal curve measured 26.6° (range, 10° － 73° ), a 63.8％ curve correction. Sagittal contours were well maintained by this instrumentation[1] [2] [3] 下一页
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