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The surgery consisted of one-stage posterior transpedicular eggshell technique, and then expanded the eggshell to the adjacent intervertebra including apex vertebra and both cephal and caudal wedge vertebra combined with their posterior elements, after completion of the VCR, instruments were added to achieve temporary stability.

均采用单纯后路扩大&蛋壳&技术切除侧后凸顶椎(包括顶椎邻近的头尾侧楔变的脊椎),截骨节段上下方各应用2~3对椎弓根螺钉固定,通过器械加压矫形关闭切除后形成的间隙观察手术前后侧后凸的矫正率、术中脊柱短缩、术后站立位身高变化及术后整体平衡情况。。

The necessary lordotic alignment can be determined through careful review and analysis of the lateral

术前应该通过仔细阅读和分析侧位站立位X线片来确定脊柱前凸曲度,并估计合适的GSS III椎弓根螺

Once the rods are inserted, the lordotic alignment of the spine should be checked with theintraoperative lateral x-ray or image view, and compared to the preoperative lateral standing view.

植入棒后,应该通过术中侧位X线片或其他影像监视检查脊柱的前凸弧度并和术前站立位侧位片比

There is usually little or no progression, the EMG shows non-specific myopathic features and serum CK is normal or only slightly raised.1 The muscle biopsy may show characteristic ultrastructural abnormalities but these can be difficult to detect without specific histochemistry and/or electron microscopy that were not available in 1981 when our patient was biopsied.

查体提示:双侧眼睑下垂,易疲劳;轻度面部及颈部肌肉无力;舌肌无力并出现中央沟。无眼肌麻痹。肩部上肢带肌消瘦、明显无力,可见肩胛翼。腰部无力,行走时脊柱前凸,呈&鸭步&步态。坐位是如不用双手辅助,可能掉出椅子外。但可以依靠其脚趾和足跟站立。患者肺活量为正常的80%,心电图及超声心动图正常。CK水平为正常的2-3倍。

In conclusion, ML force is more important in correcting the C-type scoliotic spine, and the level below apex is the most appropriate loading position for correcting scoliosis.

因此本研究归纳侧向力在胸椎C形脊柱侧弯矫正上扮演较重要的角色,而凸点椎体之下一节肋骨高度为最适当施力处。

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