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全脊椎切除术治疗小儿脊柱后凸畸形13例

, PP. 2327-2330

Keywords: 脊柱后凸,儿童,全脊椎切除术,植骨融合

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Abstract:

目的观察和评价采用全脊椎切除术治疗小儿脊柱后凸的临床效果。方法回顾性分析2011年7月至2013年7月在我院行一期全椎体切除+重建治疗的13例脊柱后凸畸形患儿的病例资料,包括男性8例,女性5例,年龄6~16岁,平均11.5岁,手术前脊柱后凸Cobb角61°~114°,平均94°。患儿均行一期全脊椎切除、经椎弓根固定、植骨融合术。结果病例均获得随访,随访时间6~24个月,平均13个月;手术顺利,手术时间210~400min,平均299min,出血量500~2000mL,平均1026mL;术后后凸Cobb角7°~40°,平均26.5°,末次随访矫正率68.9%;患儿的躯干失平衡均得到明显改善,腰背部疼痛得到明显缓解。结论运用全脊椎切除加椎弓根钉-棒系统内固定术能有效地矫正儿童脊柱后凸畸形,并可达到稳定的短节段内固定及优良的骨融合效果。

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