摘要
目的探讨应用椎弓根内固定技术对青少年特发性脊柱侧弯(Adolescent Idiopathic Scoliosis,AIS)的手术治疗效果。方法对32例AIS患者,在严格掌握手术适应证的前提下,全部采用插管全麻,一期后路手术,选择性植入椎弓根螺钉,进行侧弯矫形及预弯、旋棒后凸旋转矫形,并选择性节段丰富植骨融合。结果全组病例Cobb角术前平均52°,术后平均16°,矫正率69.2%,随访时间12～22月,平均18月,Cobb角平均17°。结论应用椎弓根内固定技术治疗青少年特发性脊柱侧弯,矫形力量强大,可以获得一个稳定的、平衡的脊柱系统,疗效确切。
Objective To study the method and clinical effect of treatment for adolescent idiopathic scoliosis（AIS） by surgery using pedicle screws fixation.Methods 32 patients with AIS of surgical indications were underwent general anesthesia,selective pedicle screws fixation,prebending and rotating stick to reshaping scoliosis and selectively segmental fusion by abundant bone graft with posterior approach operation.Results The average Cobb＇s angle was 52° before operation,16° after operation,and 17°after 12～22 months follow up（average 18 months）.Conclusion Pedicle screws fixation has great orthopedic force,and can acquire a stable and balanced spine.Its clinical effect is quite satisfaction.
出处
《中国现代医药杂志》
2011年第6期24-25,共2页
Modern Medicine Journal of China
关键词
AIS
椎弓根内固定
节段性植骨融合
AIS Pedicle screw fixation Segmental fusion by bone graft
