脊柱后凸

Result shows that there is no significant difference in distribution of any two sections' sympathetic nerve in normal goats annulus fibrosus disci intervertebralis,there is no significant difference between the sympathetic fibers distribution of convex side and concave side in annulus fibrosus disci int ...

方法先建立山羊脊柱侧凸模型，将椎间盘纤维环分为左前、左后、右前、右后四个区，然后通过NF200常规荧光组化和乙醛酸染色来研究正常山羊、侧凸山羊、正常人和青少年特发性脊柱侧凸患者椎间盘不同部位纤维环的交感神经分布特点。

However, OLF related to tuberculous kyphosis is rarely observed and this makes surgical treatment become very difficult.

然而，极少发现OLF与结核性脊柱后凸相关，从而导致手术治疗变得非常困难。

To our knowledge, only 1 article had reported 2 similar cases of spinal stenosis above a healed tuberculous kyphosis.

就我们所知，仅有1篇文献报道治疗了2例病情相似的结核性脊柱后凸伴椎管狭窄病例。

ABSTRACT:Objective To investigate the feasibility and clinical significance of posterior vertebra column resection and reconstruction in the treatment of severe kyphosis.

目的 探讨严重脊柱后凸畸形行后路一期全椎体切除加重建手术的可行性和临床意义。

A review of the current literature using evidence-based medicine regarding etiology, natural history, and treatment of Scheuermann kyphosis.

研究设计：使用循证医学，在Scheuermann脊柱后凸的病因学、自然史和治疗方面，对目前的文献资料进行回顾。

Result: Scoliosis was identified in 58 cases with Marfan syndrome (38 males and 20 females), the prevalence rate was 42.03%, male-female sex ratio was 1.18:1, 6 cases were in younger than 10-year-old group. 12 cases were in 11~20-year-old group, 19 cases were in 21~30-year-old group, 11 cases were in 31~40-year-old group, 7 cases were in 41~50-year-old group, 3 cases were in 51~60-year-old group. Mean magnitude of Cobb angle in coronal plane was 26.8°±27.8°, the types of scoliosis curve included thoracic curve (36 cases), thoracolumbar curve (11 cases), lumbar curve (2 cases), double curve (6 cases) and triple curve (3 cases), apex vertebraes were convex to the right side among single curves in 38 cases while 11 cases were convex to the left side. Mean magnitude of kyphosis in sagittal plane was 14.3°±13.2°, 5 patients had thoracic lordosis and 40 patients had hypokyphosis and 12 patients had normal kyphosis.

结果：58例(42.03%)患者合并脊柱侧凸，男38例，女20例，男女患病率比例为1.18：1，其中≤10岁6例，11~20岁12例，21~30岁19例，31~40岁11例，41~50岁7例，51~60岁3例；平均冠状面Cobb角为26.8°±27.8°；胸弯36例，胸腰弯11例，腰弯2例，双弯6例，三弯3例；单弯中顶椎凸向右侧38例，凸向左侧11例；矢状面胸椎后凸平均为14.3°±13.2°，其中胸椎前凸5例，胸椎后凸不足40例，胸椎正常后凸12例，仅1例胸椎后凸45°；11例患者冠状面Cobb角＞40°，平均年龄15.9岁。

Methods The clinical data of 242 patients with senile spinal kyphotic deformity in PUFH from April 2003 to February 2007 was retrospectively analyzed. There were 68 males and 174 females, with the average age of 71.5 years.

回顾性分析北京大学第一医院2003年4月至2007年2月收入院，具有完整诊治记录及随访资料的242例老年性脊柱后凸畸形患者，男68例，女174例；年龄53~87岁，平均71.5岁。

Objective To identify and classify the senile spinal kyphotic deformity according Peking University First Hospital classification system and carry out clinical study for confirmation.

目的 对老年性脊柱后凸畸形提出北京大学第一医院分型方法，并对分型进行临床验证。

Lumbarsacral junction tuberculosis treated with this surgical technique can achieve a high satisfactory rate with restoring the spinal stabil ity, arresting the disease early, providing early fusion, correcting the kyphosis and preventing progression of kyphosis particularly if lumbosacral spine tuberculosis is associated with sinus or preoperative diagnosis cannot exclude suppurative spondyl itis.

血常规、血沉、肝肾功正常9 例，2 例肝转氨酶升高。结论前路彻底病灶清除、植骨结合后路器械固定治疗腰骶段脊柱结核具有安全、操作简便、利于恢复脊柱的稳定性、提高植骨融合率、纠正和预防后凸畸形的优点，适用于腰骶段脊柱结核伴窦道及术前诊断尚不能排除化脓性脊椎炎者。

Treatment of spinal tuberculosis1methods between february 1998 and august 2000 , 12 patients with spinal tuberculosis were operated with anterior vertebrectomy , bone grafting and plating1 evaluation including bone fusionrate , correction of deformity and status of spinal lesion was carried out1results in an average of ten months ,spinal tuberculosis was completely cured and solid bone fusion had taken place in all 12 patients1 the time for bone fusion averaged 518 months and the average angle of correction of kyphosis was 16°1conclusions anterior plating following vertebrectomy and bone grafting offers a complete removal of lesion and decompression of the spinal canal as well as reconstruction of spinal stability1 early rehabilitation and an increased curative rate can be expected through this procedure1

目的 探讨经脊柱前路结核病灶清除的同时植骨内固定的可行性和必要性，以及对脊柱结核的治疗效果。方法1998 年2月~2000 年8 月采用脊柱前路病椎切除加植骨，并采用orion或z-plate 钢板进行椎体固定。共治疗12 例脊柱结核，观察植骨融合及矫正畸形情况和结核病灶愈合情况。结果经平均10 个月的随访，12 例患者脊柱结核均治愈，植骨与受骨区全部骨性融合，融合时间平均为518 个月，后凸矫正角度平均16°。全组病例切口均一期愈合。无手术并发症。结论本方法可经脊柱前路作较彻底的病灶清除，并较好地进行脊柱矫形和椎管减压，完成脊柱稳定性重建，有利于患者早期离床活动和脊柱结核治愈率的提高。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。