| 摘要: |
| ［摘要］ 目的 回顾分析钉-棒系统内固定+植骨融合治疗退行性脊柱侧凸矫治中的疗效。方法 2004-01～2007-12间运用TSRH、CD脊柱内固定系统+植骨融合治疗的42例退行性脊柱侧凸患者。采用后路矫形手术方法。术后随访6～25个月（平均15个月）。通过对术前术后影像学资料进行分析，比较冠状面和矢状面的矫形效果并通过C7椎体中点距骶骨中心垂线(CVSL)的距离来分析躯干平衡的重建, 并随访术后疼痛是否缓解以及功能的恢复。结果 所有患者术后外观矫形效果明显。侧凸术后主弯矫正率平均68.7%。末次随访主弯冠状面Cobb角平均丢失4.6°。C7中点距CVSL由术前平均2.7 cm矫正为术后0.26 cm。23例腰背疼痛的患者中17例术后得以缓解，31例患者术后参加正常的生活工作。结论 钉棒系统+植骨融合治疗退行性脊柱侧弯可得到冠状面上较高的矫正率、重建躯干平衡, 有效矫正脊柱侧弯，术后功能恢复满意。 |
| 关键词: 退行性脊柱侧凸 钉棒系统 治疗结果 |
| DOI：10.3969/j.issn.1674-3806.2009.08.24 |
| 分类号:R 682.3 |
| 基金项目: |
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| The efficacy of C-D Horizon and TRSH instrumentation for the treatment of adult scoliosis |
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ZHANG Bo, HUANG Ke, LI Lin
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Department of Orthopedics, the Third Affiliated Hospital of Guangxi Medical University, Nanning 530031, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the efficacy of C-D Horizon and TSRH instrumentation for the treatment of adult scoliosis.Methods Forty-two adult scoliosis patients including adult idiopathic and degenerative scoliosis were all surgically treated with C-D Horizon and TSRH from January 2004 to December 2007.The patients received anterior combined with posterior correction or single posterior procedure. Mean follow-up time was 16 months (6～25months). Preoperative and postoperative Cobb angles of the frontal plane and sagittal plane and distance between C7 and CVSL were measured. According to the data of imageology. The follow-up also included the release of pain and the recovery of function.Results Clinical appearance of all patients improved significantly. Mean correction of major curves of the coronal plane was 66.2%.Mean lost of correction of the coronal plane in the last follow-up was 4.6°, distance between the midline of C7 and CVSL was corrected from 2.7cm to 0.26cm.seventeen of twenty-three patients which had the pain in back got relief. Thirty-one patients can go to normal work.Conclusion The C-D Horizon and TSRH instrumentation could gain good correction and trunk balance in the treatment for adult scoliosis.The recovery of function is also satisfying. |
| Key words: Scoliosis Fixation Treatment outcome |
